CMS Price Transparency Data

X-ray, foot

Facility: Fairview Bethesda Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $220
Cash Discount Price: $143
vs. Medicare Baseline: 2.47x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Fairview Bethesda Hospital is $220. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $143. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.47x the Medicare baseline. Located in 45 10Th St W, Saint Paul, MN.

Cash / Self-Pay

$143

Average discount available for prompt cash payment at this facility.

Insurance Median

$220

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: $143 (161%)

Insurance Median: $220 (247%)

Cash: $143 (161% of Medicare)

Ins. Median: $220 (247% 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 247% of the Medicare baseline (a markup of 147%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Health Partners	$5 - $429	6%
Itasca Medical Care	$5 - $88	6%
Primewest	$5 - $88	6%
South Country Health Alliance	$5 - $88	6%
Blue Cross Blue Shield	$6 - $325	7%
Hennepin Health	$6 - $89	7%
Medica	$6 - $398	7%
Ucare	$6 - $231	7%
Sanford Health Plan	$7 - $324	8%
Security Health Plan	$7 - $413	8%
UnitedHealthcare	$7 - $314	8%
Wellcare	$7 - $88	8%
America'S Ppo	$179 - $396	201%
First Health	$282 - $452	317%
Multiplan	$293 - $468	330%
Private Healthcare Systems	$293 - $468	330%
Wisconsin Physician Services	$310 - $496	349%

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 $143.
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 Fairview Bethesda 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.