CMS Price Transparency Data

X-ray, foot

Facility: Goshen Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $85
  • Cash Discount Price: $286
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Goshen Hospital is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $286. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.96x the Medicare baseline. Located in 200 High Park Ave, Goshen, IN.
Cash / Self-Pay
$286

Average discount available for prompt cash payment at this facility.

Insurance Median
$85

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: $286 (322%)
Insurance Median: $85 (96%)
Cash: $286 (322% of Medicare)
Ins. Median: $85 (96% 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.

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
Advantage Health Solutions $85 96%
Aetna $85 96%
Atrio Health Plans $85 96%
Bc Federal Employee $85 96%
Bc Mcr Advantage Ppo $85 96%
Blue Cross Blue Shield $85 - $288 96%
Buckeye Health Plan $85 96%
Cigna $85 96%
Coventry Health And Life $85 96%
Emblem Health $85 96%
Freedom Healthcare $85 96%
Geisinger Health Plan $85 96%
Health First $85 96%
Healthspring $85 96%
Humana $85 96%
Iehp Empire Health Plan $85 96%
Independent Care Health Plan $85 96%
Kaiser Permanente $85 96%
Mcr Advantra Freedom $85 96%
Mcr Allwell Mhs $85 96%
Mcr Banner Health $85 96%
Mcr Complete $85 96%
Mcr Complete Ppo $85 96%
Mcr Complete Wellmed $85 96%
Mcr Health Alliance $85 96%
Mcr Health Partners Plans $85 96%
Mcr Medical Mutual Of Ohio $85 96%
Mcr Passport Advantage $85 96%
Mcr Secure Horizons Ppo $85 96%
Mcr Texan Plus $85 96%
Mcr Upmc For Life $85 96%
Medicare (plans) $85 - $90 96%
Meridian Complete $85 96%
Optimum Healthcare $85 96%
Paramount Elite $85 96%
Primetime Health Plan $85 96%
Simply Complete Hmo $85 96%
The Umwa H&R Funds $85 96%
Todays Options Pyramid Life $85 96%
Trillium Advantage $85 96%
Ucare For Seniors $85 96%
Ucare Minnesota $85 96%
UnitedHealthcare $85 - $332 96%
Wellcare $85 96%
Champva $87 98%
Tricare $87 98%
Mcr Devoted Health Plan $90 101%
Mcr Provider Partners Hlth Pln $96 108%
Ambetter / Centene $122 137%
Mkt Caresource $122 137%
All Savers $221 - $332 249%
Golden Rule Insurance 2Nd $221 - $332 249%
Oxford Health $221 - $332 249%
Uhclic $221 - $332 249%
Uhss $221 - $332 249%
Bc Allied $288 324%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 High Park Ave, Goshen, IN 46526
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals