CMS Price Transparency Data

X-ray, foot

Facility: Sarah D Culbertson Memorial Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $214
Cash Discount Price: $257
vs. Medicare Baseline: 2.41x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Sarah D Culbertson Memorial Hospital is $214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $257. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.41x the Medicare baseline. Located in 238 South Congress Street, Rushville, IL.

Cash / Self-Pay

$257

Average discount available for prompt cash payment at this facility.

Insurance Median

$214

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $257 (289%)

Insurance Median: $214 (241%)

Cash: $257 (289% of Medicare)

Ins. Median: $214 (241% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 241% of the Medicare baseline (a markup of 141%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$8 - $440	9%
Blue Cross Blue Shield	$8 - $479	9%
Molina Mmai-All Other Plans	$8 - $210	9%
UnitedHealthcare	$8 - $440	9%
Cigna	$10 - $361	11%
Multiplan/Phcs-All Plans	$24 - $440	27%
Health Dynamics-All Plans	$66 - $440	74%
Preferred Medical Claims Solution-All Plans	$74 - $440	83%
Three Rivers Provider Network-All Plans	$74 - $440	83%
Corvel-All Plans	$183	206%
Meridian Hp Mcaid-All Plans	$183 - $312	206%
Molina Healthcare Mcaid	$183 - $312	206%
Humana	$210	236%
Beech Street-All Plans	$440	495%
Encompass-All Plans	$440	495%
Healthlink-All Plans	$440	495%
Hfn Epo	$440	495%
Hfn Ppo Ip/Op Only-All Other Plans	$440	495%
Wexford Ip/Op Only-All Plans	$440	495%
Healthsmart-All Plans	$465	523%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $257.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73630.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sarah D Culbertson Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73630.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.