CMS Price Transparency Data

X-ray, foot

Facility: Merit Health Women's Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $118
  • Cash Discount Price: $188
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Merit Health Women's Hospital is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $188. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.33x the Medicare baseline. Located in 1026 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$188

Average discount available for prompt cash payment at this facility.

Insurance Median
$118

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: $188 (211%)
Insurance Median: $118 (133%)
Cash: $188 (211% of Medicare)
Ins. Median: $118 (133% 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
Medicaid / KanCare $3 - $255 3%
Cigna $5 - $365 6%
Self Pay $5 - $368 6%
UnitedHealthcare $6 - $477 7%
Trimed Billing Solutions $7 - $502 8%
State Hospital $9 - $636 10%
First Choice Mpcn $10 - $753 11%
First Choice Standard $10 - $770 11%
Coventry First Health $12 - $870 13%
First Choice Ppo Plus $12 - $920 13%
Aetna $16 - $1,171 18%
Benefit Management Systems $16 - $1,422 18%
First Choice Stratose $18 - $1,338 20%
Health Choice Of Mississippi $18 - $1,338 20%
Prime Health Services $18 - $1,338 20%
Mississippi Department Of Rehabilitation Services $23 - $1,673 26%
Ms Work Comp $23 - $49 26%
Veterans Eval Services $23 - $75 26%
Caresource Truecare $68 76%
Magnolia Mcd Ms Chip $68 76%
Molina Chip $72 81%
Tricare $75 84%
Humana $77 87%
Medicare (plans) $77 87%
Node Shared Health Of Ms Mcr Adv $77 87%
Node Vantage Health Mcr Adv $77 87%
Node Windsor Mcr Adv $77 87%
Node Champva $79 89%
Node Devoted Health Mcr Adv $79 89%
Node First Choice American Health Of Ms Mcr Adv $79 89%
Node Molina Mcr Adv $79 89%
Node Va $79 89%
Node First Choice Wellcare Mcr Adv $80 90%
Node Healthy Mississippi Mcr Adv $86 97%
Node Us Dept Of Labor $98 110%
First Choice Preferred $118 133%
Occunet $118 133%
Molina Exchange $127 143%
Advanced Health Systems $129 145%
Node First Choice Seven Corners $134 151%
Magnolia Exchange $138 155%
Blue Cross Blue Shield $166 187%
First Choice Lgp $171 192%
Vantage Health $177 199%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1026 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals