CMS Price Transparency Data

X-ray, foot

Facility: Kosciusko Community Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $91
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Kosciusko Community Hospital is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.02x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$40

Average discount available for prompt cash payment at this facility.

Insurance Median
$91

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: $40 (45%)
Insurance Median: $91 (102%)
Cash: $40 (45% of Medicare)
Ins. Median: $91 (102% 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 - $168 6%
Self Pay $5 - $313 6%
Lutheran Preferred Network $7 - $642 8%
Php Freedom Network $8 - $310 9%
Physicians Health Plan $8 - $370 9%
Aetna $9 - $427 10%
Encore $9 - $321 10%
UnitedHealthcare $9 - $422 10%
Connecticut General Life Insurance Company $13 - $472 15%
Cigna $14 - $507 16%
First Health Network $16 - $602 18%
Prime Health Services $16 - $602 18%
Advantage Health $18 - $666 20%
Private Healthcare Systems $19 - $690 21%
Sagamore $19 - $754 21%
Encore Health Network $20 - $746 22%
Veterans Eval Services $22 - $81 25%
One Call Care Diagnostics Wc $32 36%
Caresource $49 - $63 55%
Blue Cross Blue Shield $63 - $378 71%
Humana $63 - $97 71%
Managed Health Services $63 71%
Medicaid / KanCare $63 71%
Mhs $63 - $97 71%
Tricare $87 98%
Department Of Veterans Affairs $92 103%
Medicare (plans) $97 109%
Iu Health $99 111%
Node Devoted Health Mcr Adv $99 111%
Node Non Par Hospice 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%
Lutheran Advanced Network $148 166%
Lutheran Preferred $148 - $197 166%
Align In Work Comp $158 178%
One Call Work Comp $158 178%
Encore Work Comp In $178 200%
Trma Inc $180 - $189 202%
Managed Health Services Exchange $197 222%
Workers Comp $197 222%
Encore Kba Epo $237 267%
Encore Kba Ppo $296 333%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals