CMS Price Transparency Data

X-ray, foot

Facility: Woodlawn Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $148
Cash Discount Price: $409
vs. Medicare Baseline: 1.66x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Woodlawn Hospital is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $409. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.66x the Medicare baseline. Located in 1400 E 9Th St, Rochester, IN.

Cash / Self-Pay

$409

Average discount available for prompt cash payment at this facility.

Insurance Median

$148

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: $409 (460%)

Insurance Median: $148 (166%)

Cash: $409 (460% of Medicare)

Ins. Median: $148 (166% 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.

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
Blue Cross Blue Shield	$16 - $524	18%
Caresource Mcaid Hww	$16	18%
Mdwise Excel Hhw & Hcc	$16	18%
Mhs Mcaid Hcc	$16	18%
Mhs Mcaid Hhw	$16	18%
UnitedHealthcare	$16 - $497	18%
Aetna	$96 - $621	108%
Caresource Mcaid Hip	$96 - $144	108%
Caresource Mcr Adv	$96 - $144	108%
Humana	$96 - $508	108%
Mdwise Mcaid Excel Hip	$96 - $144	108%
Mhs Exch Mrktplce-All Other Plans	$96 - $144	108%
Mhs Mcaid Hip	$96 - $144	108%
Mhs Mcr Adv	$98 - $147	110%
Caresource Exch - All Other Plans	$125 - $187	141%
Ambetter / Centene	$128 - $191	144%
Partners Direct Health-All Plans	$296 - $445	333%
Cigna	$312 - $556	351%
Parkview Health Plans-All Plans	$327 - $490	368%
Sagamore All Other Grps - All Other Plans	$366 - $549	412%
Encore Comm-All Plans	$371 - $556	417%
Phcs/Multiplan-All Plans	$405 - $608	456%
Community Health Alliance-All Plans	$414 - $621	466%

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 $409.
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 Woodlawn Hospital 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.