CMS Price Transparency Data

X-ray, foot

Facility: Pulaski Memorial Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $129
  • Cash Discount Price: $162
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Pulaski Memorial Hospital is $129. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $162. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.45x the Medicare baseline. Located in 616 E 13Th St, Winamac, IN.
Cash / Self-Pay
$162

Average discount available for prompt cash payment at this facility.

Insurance Median
$129

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: $162 (182%)
Insurance Median: $129 (145%)
Cash: $162 (182% of Medicare)
Ins. Median: $129 (145% 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
UnitedHealthcare $7 - $646 8%
Ambetter / Centene $8 - $253 9%
Blue Cross Blue Shield $8 - $544 9%
Caresource Mcaid Hip $8 - $253 9%
Caresource Mcare Hmo $8 - $253 9%
Cenpatico Mcaid Hip $8 - $253 9%
Humana $8 - $657 9%
Mdwise Mcaid Hcc $8 - $16 9%
Mdwise Mcaid Hhw $8 - $16 9%
Mdwise Mcaid Hip - All Other Plans $8 - $253 9%
Mhs Mcaid Hip $8 - $253 9%
Mhs Mcare Allwell $8 - $256 9%
Multiplan - All Plans $8 - $735 9%
Caresource Exch Hmo Hix - All Other Plans $10 - $317 11%
Encore Ppo - All Other Plans $12 - $695 13%
Cigna $13 - $776 15%
Sagamore - All Other Plans $13 - $618 15%
Sagamore Rose Acre $13 - $609 15%
Community Health Alliance - All Plans $15 - $727 17%
Caresource Mcaid Hhw $16 - $31 18%
Cenpatico Mcaid Hhw - All Other Plans $16 - $31 18%
Mhs Mcaid Hhw/Hcc $16 - $31 18%
Encore Workers Comp $21 - $735 24%
Aetna $150 - $294 169%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 616 E 13Th St, Winamac, IN 46996
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals