CMS Price Transparency Data

X-ray, foot

Facility: High Point Regional Health System

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $155
Cash Discount Price: $185
vs. Medicare Baseline: 1.74x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at High Point Regional Health System is $155. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $185. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.74x the Medicare baseline. Located in 601 N Elm St, High Point, NC.

Cash / Self-Pay

$185

Average discount available for prompt cash payment at this facility.

Insurance Median

$155

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: $185 (208%)

Insurance Median: $155 (174%)

Cash: $185 (208% of Medicare)

Ins. Median: $155 (174% 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.

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
Amerihealth	$54 - $120	61%
Carolina Complete	$54	61%
Healthy Blue	$54	61%
Partners	$54	61%
UnitedHealthcare	$54 - $246	61%
Vaya	$54	61%
Wellcare	$54	61%
Alliance	$55	62%
Trillium	$55	62%
Medcost	$99 - $237	111%
Aetna	$110 - $240	124%
Oscar	$111 - $148	125%
Ambetter / Centene	$118	133%
Blue Cross Blue Shield	$144 - $230	162%
Cigna	$203	228%
Directnet	$218	245%
Private Healthcare Systems	$303	341%
Multiplan	$332	373%
Humana	$343 - $351	386%

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 $185.
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 High Point Regional Health System 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.