CMS Price Transparency Data

X-ray, foot

Facility: Franciscan Health Lafayette

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $536
Cash Discount Price: $259
vs. Medicare Baseline: 6.03x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Franciscan Health Lafayette is $536. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $259. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.03x the Medicare baseline. Located in 1701 S Creasy Ln, Lafayette, IN.

Cash / Self-Pay

$259

Average discount available for prompt cash payment at this facility.

Insurance Median

$536

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: $259 (291%)

Insurance Median: $536 (603%)

Cash: $259 (291% of Medicare)

Ins. Median: $536 (603% 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 603% of the Medicare baseline (a markup of 503%). 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
Mdwise [1175]	$63	71%
Medicaid / KanCare	$63 - $76	71%
Managed Health Services [1302]	$65	73%
Blue Cross Blue Shield	$66 - $341	74%
Unicare [1150]	$66 - $341	74%
Medicare (plans)	$92 - $93	103%
Workers Comp [1172]	$184 - $187	207%
Aetna	$186 - $1,104	209%
Managed Care [2000]	$186 - $1,326	209%
UnitedHealthcare	$339 - $830	381%
Commercial [2001]	$377 - $1,248	424%
United Medical Resources [1158]	$377 - $753	424%
United Medical Resources [1301]	$377 - $830	424%
Humana	$526	592%
Cigna	$536 - $1,072	603%
Great West Insurance [1055]	$536 - $1,072	603%

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 $259.
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 Franciscan Health Lafayette 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.