CMS Price Transparency Data

X-ray, foot

Facility: Abbeville General Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $78
Cash Discount Price: $119
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Abbeville General Hospital is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.88x the Medicare baseline. Located in 118 N Hospital Dr, Abbeville, LA.

Cash / Self-Pay

$119

Average discount available for prompt cash payment at this facility.

Insurance Median

$78

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: $119 (134%)

Insurance Median: $78 (88%)

Cash: $119 (134% of Medicare)

Ins. Median: $78 (88% 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
Magellan Behavioral Health	$13 - $258	15%
Cigna	$19 - $410	21%
Self Pay	$20 - $414	22%
Humana	$27 - $621	30%
Triwest Healthcare Alliance	$27 - $282	30%
Aetna	$29 - $579	33%
Blue Cross Blue Shield	$30 - $154	34%
Gilsbar Ppo	$31 - $641	35%
Ppo Plus	$31 - $621	35%
United Behavioral Health Inc	$31 - $621	35%
Verity Healthnet National	$31 - $621	35%
American Lifecare (Phcs)	$32 - $662	36%
Guardian Resources	$33 - $662	37%
UnitedHealthcare	$33 - $662	37%
Coventry Company	$35 - $703	39%
Galaxy Health Network	$35 - $703	39%
Usa Managed Care	$35 - $703	39%
Health Payors Organization	$37 - $745	42%
Ppo Plus Professional	$38	43%
Miscellaneous Insurance	$41 - $827	46%
Wellcare Of Louisiana	$41 - $827	46%
Vantage Health Plan	$74 - $1,489	83%
Healthy Blue	$78	88%
People'S Health	$78	88%
Medicare (plans)	$79	89%
Sierra Health And Life Insurance	$79	89%
Sterling Life Insurance Company	$79	89%
Office Of Group Benefits	$88	99%
Med-Comp Usa Inc	$117	132%

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 $119.
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 Abbeville General 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.