CMS Price Transparency Data

X-ray, foot

Facility: Putnam County Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $330
Cash Discount Price: $396
vs. Medicare Baseline: 3.71x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Putnam County Hospital is $330. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $396. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.71x the Medicare baseline. Located in 1542 S Bloomington St, Greencastle, IN.

Cash / Self-Pay

$396

Average discount available for prompt cash payment at this facility.

Insurance Median

$330

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: $396 (445%)

Insurance Median: $330 (371%)

Cash: $396 (445% of Medicare)

Ins. Median: $330 (371% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 371% of the Medicare baseline (a markup of 271%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Caresource Hip Mcaid	$16	18%
Caresource Hoosier Healthwise	$16	18%
Blue Cross Blue Shield	$129 - $482	145%
Caresource Just4Me - All Other Plans	$137 - $189	154%
Caresource Mcr Advantage	$137 - $189	154%
Humana	$137 - $446	154%
Indiana Univeristy Qhp	$196 - $270	220%
Indiana University Plan	$196 - $270	220%
Sagamore Health Ip-All Plans	$340 - $470	382%
Cigna	$360 - $497	405%
Aetna	$372 - $513	418%
Encore-All Plans	$372 - $513	418%
UnitedHealthcare	$372 - $513	418%
Indiana Health Network Ip-All Other Plans	$379 - $524	426%

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 $396.
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 Putnam County 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.