CMS Price Transparency Data

X-ray, foot

Facility: Sanford Behavioral Health Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $259
Cash Discount Price: $314
vs. Medicare Baseline: 2.91x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Sanford Behavioral Health Center is $259. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $314. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.91x the Medicare baseline. Located in 120 Labree Avenue South, Thief River Falls, MN.

Cash / Self-Pay

$314

Average discount available for prompt cash payment at this facility.

Insurance Median

$259

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: $314 (353%)

Insurance Median: $259 (291%)

Cash: $314 (353% of Medicare)

Ins. Median: $259 (291% 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 291% of the Medicare baseline (a markup of 191%). 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
Primewest	$92 - $165	103%
Ucare	$92 - $344	103%
Blue Cross Blue Shield	$135 - $271	152%
Sanford Health Plan Align	$149	168%
Aetna	$162 - $341	182%
Health Partners	$162 - $318	182%
Medicare (plans)	$162	182%
UnitedHealthcare	$162 - $327	182%
Sanford Health Plan	$210 - $247	236%
Security Health Plan	$216	243%
Medica	$345 - $371	388%
Cigna	$353	397%
First Choice Health Network	$353	397%
Healthez	$353	397%
Multiplan	$353	397%

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 $314.
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 Sanford Behavioral Health Center 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.