CMS Price Transparency Data

X-ray, foot

Facility: UMass Memorial Health - Harrington Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $159
Cash Discount Price: $532
vs. Medicare Baseline: 1.79x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at UMass Memorial Health - Harrington Hospital is $159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $532. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.79x the Medicare baseline. Located in 100 South Street, Southbridge, MA.

Cash / Self-Pay

$532

Average discount available for prompt cash payment at this facility.

Insurance Median

$159

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: $532 (598%)

Insurance Median: $159 (179%)

Cash: $532 (598% of Medicare)

Ins. Median: $159 (179% 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
Workers Compensation [20501]	$27	30%
Aetna	$60 - $532	67%
Wellpoint [11112]	$94	106%
Cigna	$104 - $567	117%
Institution [10406]	$104 - $106	117%
Mgb Mcr [10124]	$104 - $106	117%
Champva [11001]	$105	118%
Tufts Us Family [11203]	$106	119%
Blue Cross Blue Shield	$108 - $115	121%
Commonwealth Care Alliance [10103]	$110 - $111	124%
Fallon Mcr Supp [20202]	$110 - $111	124%
Fallon Mcr [10105]	$110 - $111	124%
Tufts Mcr [10112]	$110 - $111	124%
UnitedHealthcare	$111 - $532	125%
Senior Whole Health [10110]	$113	127%
Fallon Connectorcare [10503]	$152 - $229	171%
Harvard Pilgrim [10701]	$166 - $299	187%
Tufts Connectorcare [10507]	$177 - $180	199%
Medicaid / KanCare	$277	312%
Hne [11108]	$346	389%
Tufts [11201]	$378 - $567	425%
First Health Network [11120]	$399	449%
Evernorth Behavioral Health [27]	$426	479%
Connecticare [11105]	$532	598%
Fallon Carelon Hlth [28]	$532	598%
Fallon Mcaid Carelon Hlth [29]	$532	598%
Grants [20507]	$532	598%
Masshealth Mcd Mbhp [38]	$532	598%
Wellsense Mcaid Carelon Hlth [21]	$532	598%
Hsno/Free Care [10801]	$681	766%

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 $532.
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 UMass Memorial Health - Harrington 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.