CMS Price Transparency Data

X-ray, foot

Facility: Helen Newberry Joy Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $113
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Helen Newberry Joy Hospital is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.27x the Medicare baseline. Located in 502 W Harrie St, Newberry, MI.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$113

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: $84 (94%)
Insurance Median: $113 (127%)
Cash: $84 (94% of Medicare)
Ins. Median: $113 (127% 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.

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
Mi Wc - All Plans $12 - $178 13%
Aetna $17 - $321 19%
Uphg Tpa - All Plans $17 - $251 19%
Cigna $18 - $270 20%
First Health - All Plans $18 - $265 20%
Health Alliance - All Plans $18 - $270 20%
Healtheos - All Plans $18 - $270 20%
Ppom/Cofinity - All Plans $18 - $265 20%
Priority Health - All Plans $18 - $270 20%
UnitedHealthcare $18 - $270 20%
Vital Core - All Plans $18 - $270 20%
Blue Cross Blue Shield $19 - $321 21%
Humana $98 - $321 110%
Mi Health Link - All Plans $98 - $321 110%
Va - All Plans $101 - $253 114%
Uphp Mcaid - All Plans $116 - $229 130%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 502 W Harrie St, Newberry, MI 49868
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals