CMS Price Transparency Data
X-ray, foot
Facility: Mercy Hospital Springfield
Billing Code: 73630 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73630
- Insurance Median: $347
- Cash Discount Price: $494
- vs. Medicare Baseline: 3.90x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Mercy Hospital Springfield is $347. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $494. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.90x the Medicare baseline. Located in 2115 S. Fremont Ave, Springfield, MO.
Cash / Self-Pay
$494
Average discount available for prompt cash payment at this facility.
Insurance Median
$347
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: $494 (556%)
Insurance Median: $347 (390%)
Cash: $494 (556% of Medicare)
Ins. Median: $347 (390% 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 390% of the Medicare baseline (a markup of 290%). 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.
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 |
|---|---|---|
| Blue Cross Blue Shield | $21 - $698 | 24% |
| Aetna | $22 - $103 | 25% |
| Humana | $22 - $621 | 25% |
| Medicaid / KanCare | $22 - $113 | 25% |
| Ambetter / Centene | $63 | 71% |
| Home State Health Plan Contracted [320187] | $63 | 71% |
| Novasys Contracted [320285] | $63 | 71% |
| Centurion Of Missouri [20459] | $78 | 88% |
| Champva [20065] | $78 | 88% |
| Cherokee Nation Health Serv Contracted [320066] | $78 | 88% |
| Cigna | $78 - $248 | 88% |
| Cross Timbers Hospice [20098] | $78 | 88% |
| Dept Of Veteran Affairs Contracted [320106] | $78 | 88% |
| Elara Caring Aspire Hospice [20433] | $78 | 88% |
| Globalhealth Contracted [320145] | $78 | 88% |
| Halo Hcr Inc Hospice Contracted [320432] | $78 | 88% |
| Halo Hcr Inc Hospice [20432] | $78 | 88% |
| Indian Health Service Contracted [320198] | $78 | 88% |
| Indian Health Service [20198] | $78 | 88% |
| Kindful Hospice Contracted [320434] | $78 | 88% |
| Kindful Hospice [20434] | $78 | 88% |
| Medicare (plans) | $78 - $82 | 88% |
| Mercy Hospice Okc [20252] | $78 | 88% |
| Mercy Mgd Behavioral Health Contracted [320259] | $78 | 88% |
| Mercy Rehab Hospital Contracted [320260] | $78 | 88% |
| Pace Of The Ozarks Contracted [320518] | $78 | 88% |
| Qual Choice Contracted [320325] | $78 | 88% |
| Tricare | $78 | 88% |
| UnitedHealthcare | $78 - $703 | 88% |
| Provider Partners Health Plans Contracted [320450] | $86 | 97% |
| Healthscope Contracted [320182] | $100 | 112% |
| Centivo Contracted [320505] | $132 | 148% |
| Healthlink Contracted [320179] | $147 - $520 | 165% |
| 90 Degree Benefits Contracted [320436] | $148 | 166% |
| Mercy Benefit Admin Contracted [320251] | $148 - $520 | 166% |
| Point C Contracted [320238] | $148 - $685 | 166% |
| Show-Me Health Administrators Contracted [320483] | $148 - $156 | 166% |
| Providrs Care Network Contracted [320484] | $163 | 183% |
| United Medical Resources Contracted [320454] | $182 - $475 | 205% |
| Medica Contracted [320239] | $240 - $361 | 270% |
| Medica [20239] | $240 - $361 | 270% |
| Benefit Management Contracted [320052] | $243 - $365 | 273% |
| Health Systems Inc Contracted [320174] | $243 - $365 | 273% |
| Insurance System Inc Contracted [320465] | $243 - $365 | 273% |
| Administrative Payor Contracted [320005] | $274 - $456 | 308% |
| Evolutions Health Care Contracted [320124] | $274 - $411 | 308% |
| Point C [20238] | $274 - $411 | 308% |
| Medical Destinations Contracted [320242] | $304 - $456 | 342% |
| Workers Comp [20426] | $304 - $776 | 342% |
| First Health Contracted [320128] | $340 - $511 | 382% |
| Aither Health Contracted [320449] | $347 - $520 | 390% |
| Auxiant Contracted [320462] | $347 - $593 | 390% |
| Ebms Contracted [320493] | $347 - $520 | 390% |
| Edison Health Solutions Contracted [320502] | $347 - $520 | 390% |
| Imagine 360 Contracted [320494] | $347 - $520 | 390% |
| Reflect Health Contracted [320492] | $347 - $520 | 390% |
| Yuzu Health Contracted [320521] | $347 - $520 | 390% |
| Federal Medical Center Contracted [320127] | $365 - $548 | 411% |
| Multiplan Contracted [320270] | $468 - $703 | 526% |
| Private Health Care Systems Contracted [320320] | $468 - $703 | 526% |
| Compcare Of The Ozarks Contracted [320437] | $480 - $721 | 540% |
| American Healthcare Alliance Contracted [320020] | $486 - $730 | 547% |
| Qual Choice Contracted [320324] | $486 - $730 | 547% |
| Municipal Health Plan Contracted [320271] | $492 - $740 | 553% |
| Usa Managed Care Org Contracted [320429] | $535 - $803 | 602% |
| Ppo Plus Contracted [320310] | $547 - $822 | 615% |