CMS Price Transparency Data

X-ray, foot

Facility: Dukes Memorial Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $63
  • Cash Discount Price: $157
  • vs. Medicare Baseline: 0.71x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Dukes Memorial Hospital is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $157. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.71x the Medicare baseline. Located in 275 W 12Th St, Peru, IN.
Cash / Self-Pay
$157

Average discount available for prompt cash payment at this facility.

Insurance Median
$63

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: $157 (177%)
Insurance Median: $63 (71%)
Cash: $157 (177% of Medicare)
Ins. Median: $63 (71% 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
Aetna $4 - $288 4%
Blue Cross Blue Shield $4 - $378 4%
Department Of Veterans Affairs $4 - $112 4%
Humana $4 - $119 4%
Iu Health Plan $4 - $119 4%
Managed Health Services $4 - $242 4%
Medicare (plans) $4 - $119 4%
Node Devoted Health Mcr Adv $4 - $121 4%
Node Va $4 - $292 4%
Tricare $4 - $112 4%
UnitedHealthcare $4 - $297 4%
In Dept Of Correction $5 - $126 6%
Miami County Sheriffs Department $5 - $126 6%
Node Pphp Mcr Adv $5 - $127 6%
Align Network $7 - $193 8%
Lutheran Advanced Network $7 - $181 8%
Lutheran Preferred $7 - $483 8%
Lutheran Three Rivers Preferred Plus 150 $7 - $181 8%
Node Lutheran Preferred Fixed 2 $7 - $181 8%
Encore Work Comp In $8 - $217 9%
Lutheran Three Rivers Preferred Plus 175 $8 - $211 9%
Partners Direct Health Llc $8 - $230 9%
Prime Health Services $8 - $453 9%
Cigna $9 - $604 10%
Lutheran Northwest Health Preferred $9 - $242 10%
Physicians Health Plan $9 - $282 10%
Work Comp $9 - $242 10%
Php Freedom $10 - $279 11%
Three Rivers Preferred $10 - $272 11%
Amish Aid $11 - $302 12%
Encore Kba Epo $11 - $290 12%
Encore Ppo $11 - $302 12%
Self Pay $11 - $332 12%
Sagamore Health Network $12 - $335 13%
Encore Kba Ppo $13 - $362 15%
Consumer Life $14 - $374 16%
Advantage Health Solutions $18 - $501 20%
Encore Health Network $18 - $495 20%
First Health $18 - $483 20%
Multiplan $18 - $489 20%
Encore $20 - $544 22%
Veterans Eval Services $22 - $81 25%
One Call Wc $32 36%
Caresource $49 - $63 55%
Us Department Of Labor $54 61%
Medicaid / KanCare $63 71%
Mhs $63 71%
Three Rivers Preferred Plus $180 202%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 275 W 12Th St, Peru, IN 46970
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals