CMS Price Transparency Data

X-ray, foot

Facility: St Joseph Health System, LLC

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $52
  • Cash Discount Price: $20
  • vs. Medicare Baseline: 0.58x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at St Joseph Health System, LLC is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.58x the Medicare baseline. Located in 702 Van Buren St., Fort Wayne, IN.
Cash / Self-Pay
$20

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

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: $20 (22%)
Insurance Median: $52 (58%)
Cash: $20 (22% of Medicare)
Ins. Median: $52 (58% 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
Amish Aid $5 - $235 6%
Self Pay $5 - $540 6%
Lutheran Preferred $6 - $589 7%
Php $6 - $392 7%
Cigna $7 - $981 8%
Php Freedom Network $7 - $98 8%
Blue Cross Blue Shield $8 - $378 9%
Aetna $10 - $667 11%
Encore Ppo $11 - $883 12%
Sagamore $11 - $531 12%
Lutheran Network $12 - $540 13%
Multiplan $15 - $765 17%
First Health $16 - $736 18%
Prime Health Services $16 - $736 18%
Advantage Health Solutions $18 - $814 20%
Align Network $18 - $785 20%
Frontpath Health Coalition $18 - $785 20%
Allied Benefit Systems $20 - $883 22%
Medical Mutual Of Ohio $22 - $981 25%
Parkview Healthplan Services $22 - $981 25%
Value Options $22 - $981 25%
Veterans Eval Services $22 - $81 25%
UnitedHealthcare $24 - $489 27%
Spreemo $30 34%
Caresource $63 71%
Humana $63 - $91 71%
Managed Health Services $63 - $184 71%
Medicaid / KanCare $63 71%
Tricare $87 98%
Medicare (plans) $91 102%
Department Of Veterans Affairs $92 103%
Node Devoted Health Mcr Adv $92 103%
Node Hospice Non Par Agree $92 103%
Node Va $92 103%
In Dept Of Correction $96 108%
Node Pphp Mcr Adv $97 109%
Us Department Of Labor $115 129%
Lutheran Advanced Network $138 155%
Encore Work Comp In $166 187%
Work Comp $184 207%
Three Rivers $189 213%
Encore Kba Epo $221 249%
Encore Kba Ppo $276 310%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 702 Van Buren St., Fort Wayne, IN 46802
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals