CMS Price Transparency Data

X-ray, foot

Facility: Caromont Regional Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $125
  • Cash Discount Price: $471
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Caromont Regional Medical Center is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $471. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.41x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.
Cash / Self-Pay
$471

Average discount available for prompt cash payment at this facility.

Insurance Median
$125

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: $471 (530%)
Insurance Median: $125 (141%)
Cash: $471 (530% of Medicare)
Ins. Median: $125 (141% 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
Blue Cross Blue Shield $57 - $185 64%
Carolina Complete Health $57 - $84 64%
Partners Behavioral Health $57 - $84 64%
Alliance Behavioral Health $59 - $86 66%
Amerihealth Caritas $59 - $86 66%
Carolina Complete Health Tailored Plans $59 - $86 66%
UnitedHealthcare $59 - $128 66%
Vaya Behavioral Health $59 - $86 66%
Wellcare $59 - $86 66%
Aetna $92 - $181 103%
Devoted Health $93 105%
Healthteam $93 105%
Longevity Health $93 105%
Molina $93 - $157 105%
Humana $95 - $492 107%
Absolute Total Care $107 - $157 120%
Gaston County Jail $115 - $168 129%
Cigna $125 - $165 141%
Surgery Plus $156 175%
Carolina Caring $222 - $443 250%
Corporate Benefits Service $239 269%
Medcost $260 - $380 292%
Beech Street $313 - $458 352%
Multiplan $313 - $458 352%
Self Pay $344 - $419 387%
First Health Network $363 - $531 408%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2525 Court Dr, Gastonia, NC 28052
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals