CMS Price Transparency Data

X-ray, foot

Facility: Atrium Health Cleveland

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $79
Cash Discount Price: $262
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Atrium Health Cleveland is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $262. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.89x the Medicare baseline. Located in 201 E Grover St, Shelby, NC.

Cash / Self-Pay

$262

Average discount available for prompt cash payment at this facility.

Insurance Median

$79

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: $262 (295%)

Insurance Median: $79 (89%)

Cash: $262 (295% of Medicare)

Ins. Median: $79 (89% 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
Alliance	$7 - $88	8%
Amerihealth Caritas	$7 - $74	8%
Carolina Complete Health	$7 - $75	8%
Healthy Blue	$7 - $75	8%
Partners	$7 - $73	8%
Trillium	$7 - $78	8%
UnitedHealthcare	$7 - $280	8%
Vaya	$7 - $76	8%
Wellcare	$7 - $75	8%
Aetna	$8 - $404	9%
Cigna	$8 - $419	9%
Humana	$8 - $84	9%
Blue Cross Blue Shield	$22 - $215	25%
Medcost	$22 - $347	25%
Choicecare	$45 - $430	51%
Ambetter / Centene	$167 - $190	188%
Employers Health Network	$232	261%
Physician Reach Out	$262	295%
Magellan	$314	353%
Gmmi	$341	384%
Quik Trip	$341	384%
Carolina Behavioral Health	$377 - $419	424%
Healthgram	$419	471%
First Health	$445	501%
Lifesynch Community Choice Care	$445	501%
Private Health Care Systems	$472	531%
Beechstreet	$482	542%
Multiplan	$498	560%

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 $262.
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 Atrium Health Cleveland 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.