CMS Price Transparency Data

X-ray, foot

Facility: Terrebonne General Medical Center - Parish

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $155
Cash Discount Price: $280
vs. Medicare Baseline: 1.74x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Terrebonne General Medical Center - Parish is $155. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $280. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.74x the Medicare baseline. Located in 8166 Main Street, Houma, LA.

Cash / Self-Pay

$280

Average discount available for prompt cash payment at this facility.

Insurance Median

$155

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: $280 (315%)

Insurance Median: $155 (174%)

Cash: $280 (315% of Medicare)

Ins. Median: $155 (174% 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
Champ Va	$22	25%
Ppoplus	$55	62%
Medicaid / KanCare	$68	76%
UnitedHealthcare	$68 - $378	76%
Amerihealth	$69	78%
Aetna	$70 - $104	79%
Humana	$71 - $237	80%
Blue Cross Blue Shield	$78 - $199	88%
Dept Of Veterans Affairs	$78	88%
Medicare (plans)	$78	88%
Tricare	$79	89%
Amg	$83	93%
Vantage Health Plan	$197	222%
Verity Health	$215	242%
Gilsbar 360	$231	260%
Multiplan Inc	$246	277%
Cigna	$254	286%
Coventry Health Of Louisiana	$302	340%
Workers Comp	$378	425%

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 $280.
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 Terrebonne General Medical Center - Parish 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.