CMS Price Transparency Data

X-ray, foot

Facility: Northwest Health - Starke

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $97
  • Cash Discount Price: $81
  • vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Northwest Health - Starke is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.09x the Medicare baseline. Located in 102 E Culver Rd, Knox, IN.
Cash / Self-Pay
$81

Average discount available for prompt cash payment at this facility.

Insurance Median
$97

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: $81 (91%)
Insurance Median: $97 (109%)
Cash: $81 (91% of Medicare)
Ins. Median: $97 (109% 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
Lutheran $17 - $127 19%
Self Pay $17 - $259 19%
Medpartners $21 - $158 24%
Physicians Health Plan $26 - $194 29%
Alpha Baking $28 - $212 31%
One Call $32 36%
Php $37 - $283 42%
Encore $40 - $409 45%
UnitedHealthcare $44 - $333 49%
Caresource $49 - $63 55%
Multiplan Inc $50 - $424 56%
Aetna $51 - $407 57%
Cigna $52 - $391 58%
Coventry First Health $54 - $407 61%
Lutheran Network $55 - $414 62%
Sagamore Health Network $55 - $414 62%
Community Health Alliance $56 - $424 63%
Ppom $59 - $442 66%
Managed Health Services $62 - $197 70%
Blue Cross Blue Shield $63 - $370 71%
Humana $63 - $97 71%
Medicaid / KanCare $63 71%
Mhs $63 71%
Tricare $87 98%
Node Champva $92 103%
Medicare (plans) $97 109%
Node Devoted Health Mcr Adv $99 111%
Node Hospice Non Par Agree $99 111%
Node Va $99 111%
In Dept Of Correction $103 116%
Node Pphp Mcr Adv $104 117%
Us Department Of Labor $123 138%
Indiana Workers Comp $197 222%
Encore Kba Epo $237 267%
Magnacare Ma $237 267%
Encore Kba Ppo $296 333%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 102 E Culver Rd, Knox, IN 46534
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals