CMS Price Transparency Data

X-ray, foot

Facility: Frankfort Regional Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $431
Cash Discount Price: $1,908
vs. Medicare Baseline: 4.85x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Frankfort Regional Medical Center is $431. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,908. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.85x the Medicare baseline. Located in 299 Kings Daughters Drive, Frankfort, KY.

Cash / Self-Pay

$1,908

Average discount available for prompt cash payment at this facility.

Insurance Median

$431

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: $1,908 (2146%)

Insurance Median: $431 (485%)

Cash: $1,908 (2146% of Medicare)

Ins. Median: $431 (485% 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 485% of the Medicare baseline (a markup of 385%). 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
Blue Cross Blue Shield	$100 - $732	112%
Molina	$100 - $212	112%
United	$100 - $1,190	112%
Humana	$101 - $731	114%
Corvel	$200 - $425	225%
Prime Health	$200 - $425	225%
Coventry Cares	$224 - $476	252%
Signature Advantage	$237 - $503	267%
Cigna	$367 - $778	413%
Essence Healthcare	$561 - $1,190	631%
Baptist Health Network	$673 - $1,428	757%
Hospice Of Central Kentucky	$786 - $1,666	884%
Occupational Mc Alliance	$998 - $2,116	1122%
Multiplan	$1,185 - $2,513	1333%

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 $1,908.
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 Frankfort Regional Medical Center 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.