CMS Price Transparency Data
X-ray, foot
Facility: Avoyelles Hospital
Billing Code: 73630 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73630
- Insurance Median: $373
- Cash Discount Price: $168
- vs. Medicare Baseline: 4.20x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Avoyelles Hospital is $373. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.20x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$168
Average discount available for prompt cash payment at this facility.
Insurance Median
$373
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: $168 (189%)
Insurance Median: $373 (420%)
Cash: $168 (189% of Medicare)
Ins. Median: $373 (420% 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 420% of the Medicare baseline (a markup of 320%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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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 | $36 - $419 | 40% |
| Amer Contl Ins | $36 - $419 | 40% |
| Coventry | $36 - $419 | 40% |
| First Choice Health | $36 - $419 | 40% |
| Meritan Health | $36 - $746 | 40% |
| Cigna | $78 - $421 | 88% |
| Correct Cr Int Hlt | $78 - $155 | 88% |
| Mcd Amerihealth Caritas | $78 - $155 | 88% |
| Mcd Healthy Blue | $78 - $155 | 88% |
| Mcd La Hc Conn | $78 - $155 | 88% |
| Medicaid / KanCare | $78 - $155 | 88% |
| UnitedHealthcare | $78 - $155 | 88% |
| Mcd Ms | $85 - $171 | 96% |
| Student Assurances | $112 - $746 | 126% |
| Blue Cross Blue Shield | $125 | 141% |
| Ofc Of Grp Bene | $125 | 141% |
| Humana | $134 - $423 | 151% |
| Ppo Plus Llc | $224 - $448 | 252% |
| Zelis Healthcare Bpa | $224 - $448 | 252% |
| Gilsbar | $235 - $470 | 264% |
| Amerind | $336 - $671 | 378% |
| Applied Underwriters | $336 - $671 | 378% |
| Sedgwick | $336 - $671 | 378% |
| Us Dept Of Labor | $336 - $671 | 378% |
| Wc Clms Admin Svcs | $336 - $671 | 378% |
| Wc Clms Mgmnt Walmart | $336 - $671 | 378% |
| Wc Esis | $336 - $671 | 378% |
| Wc Fara | $336 - $671 | 378% |
| Wc Gallagher Bassett | $336 - $671 | 378% |
| Wc Guide One | $336 - $671 | 378% |
| Wc Hartford Med | $336 - $671 | 378% |
| Wc Luba | $336 - $671 | 378% |
| Wc Lwcc | $336 - $671 | 378% |
| Wc Paragon Casino Resort | $336 - $671 | 378% |
| Wc Risk Mgmnt | $336 - $671 | 378% |
| Wc Stone Trust | $336 - $671 | 378% |
| Wc Summit Consulting Hold | $336 - $671 | 378% |
| Wc Travelers Ins | $336 - $671 | 378% |
| Wc Trs Workers Comp Claim | $336 - $671 | 378% |
| Wc Us Dol | $336 - $671 | 378% |
| Wc Zurich | $336 - $671 | 378% |
| Aarp | $373 - $746 | 420% |
| Admin Concepts | $373 - $746 | 420% |
| All Saints Hospice | $373 - $746 | 420% |
| All State | $373 - $746 | 420% |
| Allegiance Health Hospice | $373 - $746 | 420% |
| Allied Natl | $373 - $746 | 420% |
| Amfirst | $373 - $746 | 420% |
| Avoy Parish School Board | $373 - $746 | 420% |
| Avoyelles Parish Sheriff | $373 - $746 | 420% |
| Bollinger | $373 - $746 | 420% |
| Ccmsi | $373 - $746 | 420% |
| Central States | $373 - $746 | 420% |
| Christus Health Plan | $373 - $746 | 420% |
| Compassionate Care Hospic | $373 - $746 | 420% |
| Core Source | $373 - $746 | 420% |
| Coushatta Hlth Dept | $373 - $746 | 420% |
| Ebms | $373 - $746 | 420% |
| Federated Ins | $373 - $746 | 420% |
| Feedom Life | $373 - $746 | 420% |
| Fidelity Standard Life Co | $373 - $746 | 420% |
| Fox Everette | $373 - $746 | 420% |
| Guarantee Trust | $373 - $746 | 420% |
| Heart Of Hospice | $373 - $746 | 420% |
| Hos Christus Hospice | $373 - $746 | 420% |
| Hos Guardian Hospice Care | $373 - $746 | 420% |
| Hos Harbor Hospice Alex | $373 - $746 | 420% |
| Hos La Hospice Palliative | $373 - $746 | 420% |
| Hos Passages Hospice N. | $373 - $746 | 420% |
| Hos St Joseph Hospice | $373 - $746 | 420% |
| Hospice Miscellaneous | $373 - $746 | 420% |
| Ins Mgmnt Admin | $373 - $746 | 420% |
| Ins Tpa | $373 - $746 | 420% |
| Liberty Health Share | $373 - $746 | 420% |
| Lumico | $373 - $746 | 420% |
| Manhattan Life Ins | $373 - $746 | 420% |
| Medi Share | $373 - $746 | 420% |
| Misc Comm | $373 - $746 | 420% |
| Nalc | $373 - $746 | 420% |
| New Era Life | $373 - $746 | 420% |
| North American | $373 - $746 | 420% |
| Phcs | $373 - $746 | 420% |
| Physicians Mutual | $373 - $746 | 420% |
| Pipeline Ind Bene | $373 - $746 | 420% |
| Progressive Auto | $373 - $746 | 420% |
| Reliance Standard Life | $373 - $746 | 420% |
| Rural Carriers | $373 - $746 | 420% |
| Shelter Ins Co | $373 - $746 | 420% |
| Sierre Health And Life | $373 - $746 | 420% |
| State Farm | $373 - $746 | 420% |
| State Mutual | $373 - $746 | 420% |
| Sterling Investors | $373 - $746 | 420% |
| The Health Plan | $373 - $746 | 420% |
| Tribal Hlth Partners | $373 - $746 | 420% |
| Tricare | $373 - $746 | 420% |
| Trustmark Health Benefits | $373 - $746 | 420% |
| Tunica Biloxi | $373 - $746 | 420% |
| Uct | $373 - $746 | 420% |
| Unified Life | $373 - $746 | 420% |
| Usaa Life Ins | $373 - $746 | 420% |
| Web-Tpa | $373 - $746 | 420% |
| Woodmen Of The World | $373 - $746 | 420% |