CMS Price Transparency Data

X-ray, foot

Facility: Fayette County Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $312
  • Cash Discount Price: $368
  • vs. Medicare Baseline: 3.51x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Fayette County Hospital is $312. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $368. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.51x the Medicare baseline. Located in 650 W Taylor St, Vandalia, IL.
Cash / Self-Pay
$368

Average discount available for prompt cash payment at this facility.

Insurance Median
$312

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: $368 (414%)
Insurance Median: $312 (351%)
Cash: $368 (414% of Medicare)
Ins. Median: $312 (351% 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 351% of the Medicare baseline (a markup of 251%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $7 - $678 8%
Health Alliance Mcare $8 - $315 9%
Healthlink Mcr Adv $8 - $315 9%
Cigna $9 - $737 10%
Coventry/Ghp-All Plans $11 - $639 12%
Multiplan - All Plans $15 - $836 17%
Health Alliance - All Other Plans $16 - $812 18%
Blue Cross Blue Shield $17 - $826 19%
UnitedHealthcare $39 - $816 44%
Healthlink Hmo $40 - $688 45%
Healthlink Ppo - All Other Plans $40 - $786 45%
Illinicare - All Plans $111 - $312 125%
Medicaid / KanCare $111 - $312 125%
Meridian-All Plans $111 - $312 125%
Humana $210 - $315 236%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 650 W Taylor St, Vandalia, IL 62471
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals