CMS Price Transparency Data

X-ray, foot

Facility: Dupont Hospital LLC

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $175
  • Cash Discount Price: $135
  • vs. Medicare Baseline: 1.97x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Dupont Hospital LLC is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $135. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.97x the Medicare baseline. Located in 2520 E Dupont Rd, Fort Wayne, IN.
Cash / Self-Pay
$135

Average discount available for prompt cash payment at this facility.

Insurance Median
$175

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: $135 (152%)
Insurance Median: $175 (197%)
Cash: $135 (152% of Medicare)
Ins. Median: $175 (197% 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
Physicians Health Plan $5 - $313 6%
Amish Aid $6 - $218 7%
Self Pay $6 - $364 7%
Cigna $7 - $294 8%
Lutheran Preferred $7 - $485 8%
Php Freedom Network $7 - $104 8%
Aetna $8 - $362 9%
Encore Ppo $11 - $404 12%
Medical Mutual Of Oh $12 - $429 13%
Sagamore $12 - $451 13%
Prime Health Services $16 - $607 18%
Advantage Health Solutions $18 - $671 20%
Encore Health Network $18 - $728 20%
Frontpath $18 - $647 20%
Multiplan $19 - $728 21%
Allied Benefit Systems $20 - $728 22%
Veterans Eval Services $22 - $81 25%
Blue Cross Blue Shield $63 - $378 71%
Caresource $63 71%
Humana $63 - $91 71%
Managed Health Services $63 - $184 71%
Medicaid / KanCare $63 71%
UnitedHealthcare $63 - $392 71%
Tricare $87 98%
Medicare (plans) $91 102%
Node Mhs Mcr Adv $91 102%
Department Of Veterans Affairs $92 103%
Iu Health $92 103%
Node Devoted Health Mcr Adv $92 103%
Node Non Par Hospice 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%
Lutheran Preferred Fixed 2 $138 155%
Align In Work Comp $147 165%
Encore Work Comp In $166 187%
In Work Comp $184 207%
Lutheran Network $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: 2520 E Dupont Rd, Fort Wayne, IN 46825
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals