CMS Price Transparency Data

X-ray, foot

Facility: University of Missouri Health Care

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $280
Cash Discount Price: $308
vs. Medicare Baseline: 3.15x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at University of Missouri Health Care is $280. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $308. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.15x the Medicare baseline. Located in One Hospital Drive, Columbia, MO.

Cash / Self-Pay

$308

Average discount available for prompt cash payment at this facility.

Insurance Median

$280

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: $308 (346%)

Insurance Median: $280 (315%)

Cash: $308 (346% of Medicare)

Ins. Median: $280 (315% 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 315% of the Medicare baseline (a markup of 215%). 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
Coventry Health Plan	$41	46%
Medica With Mu Health	$43	48%
Blue Cross Blue Shield	$52 - $308	58%
Healthlink	$74 - $304	83%
UnitedHealthcare	$84 - $365	94%
Aetna	$85 - $432	96%
American Health Management	$85	96%
Humana	$85	96%
Wellcare	$85	96%
Provider Partners Health Plan	$87	98%
Healthy Blue	$113	127%
United Community	$113	127%
Home State	$120	135%
Immergun	$163 - $196	183%
Coventry Health Plan National	$350 - $421	394%
Mercy	$350 - $421	394%
Cox Health Network	$374 - $449	421%
Cigna	$397 - $477	447%
Multiplan	$411 - $494	462%

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 $308.
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 University of Missouri Health Care 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.