CMS Price Transparency Data

X-ray, foot

Facility: Merit Health River Oaks

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $171
  • Cash Discount Price: $272
  • vs. Medicare Baseline: 1.92x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Merit Health River Oaks is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $272. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.92x the Medicare baseline. Located in 1030 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$272

Average discount available for prompt cash payment at this facility.

Insurance Median
$171

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: $272 (306%)
Insurance Median: $171 (192%)
Cash: $272 (306% of Medicare)
Ins. Median: $171 (192% 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 - $364 3%
Cigna $4 - $476 4%
Self Pay $5 - $526 6%
UnitedHealthcare $6 - $638 7%
Trimed Billing Solutions $7 - $717 8%
Ms State Hospital Of Whitfield Ms $9 - $908 10%
First Choice Standard $10 - $1,099 11%
First Choice Coventry $12 - $1,243 13%
First Choice Mpcn Standard $12 - $1,314 13%
First Choice Ppo Plus $12 - $1,314 13%
Phcs $14 - $1,434 16%
Aetna $16 - $1,673 18%
Benefit Administration Services $16 - $2,032 18%
Benefit Management Systems $16 - $2,032 18%
Citizens State Bank Inc $16 - $2,032 18%
First Choice Stratose $18 - $1,912 20%
Prime Health Services $18 - $1,912 20%
American Health Group $19 - $2,032 21%
Beech Street $19 - $2,032 21%
Formost $19 - $2,032 21%
Usa Mco $19 - $2,032 21%
One Health Plan $20 - $2,151 22%
Ms Dept Of Rehabilitation Services $23 - $2,390 26%
Veterans Eval Services $23 - $75 26%
Ms Work Comp $49 55%
Prime Health Wc $49 55%
Caresource Truecare $68 76%
Magnolia Mcd Chip $68 76%
Molina Chip $72 81%
Tricare $75 84%
Humana $77 87%
Medicare (plans) $77 87%
Node First Choice Shared Health Of Ms Mcr Adv $77 87%
Node Vantage Health Mcr Adv $77 87%
Molina $79 89%
Node Champva $79 89%
Node Devoted Health Mcr Adv $79 89%
Node First Choice American Health Mcr Adv $79 89%
Node Hospice Non Par Agree $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%
Node First Choice Occunet $118 133%
Molina Exchange $127 143%
Advanced Health Systems $129 145%
Node First Choice Seven Corners $134 151%
Magnolia Exchange $138 155%
First Choice Lgp $171 192%
Vantage Health Commercial $177 199%
Blue Cross Blue Shield $189 213%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1030 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals