CMS Price Transparency Data

X-ray, foot

Facility: Atrium Health Pineville

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $74
  • Cash Discount Price: $262
  • vs. Medicare Baseline: 0.83x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Atrium Health Pineville is $74. 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 0.83x the Medicare baseline. Located in 10628 Park Rd, Charlotte, NC.
Cash / Self-Pay
$262

Average discount available for prompt cash payment at this facility.

Insurance Median
$74

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: $74 (83%)
Cash: $262 (295% of Medicare)
Ins. Median: $74 (83% 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
Alliance $7 - $56 8%
Amerihealth Caritas $7 - $53 8%
Carolina Complete Health $7 - $54 8%
Healthy Blue $7 - $54 8%
Partners $7 - $52 8%
Trillium $7 - $56 8%
UnitedHealthcare $7 - $247 8%
Vaya $7 - $55 8%
Wellcare $7 - $54 8%
Aetna $8 - $435 9%
Cigna $8 - $354 9%
Humana $8 - $85 9%
Ortho Carolina $9 - $105 10%
Blue Cross Blue Shield $22 - $204 25%
Medcost $22 - $313 25%
Choicecare $45 - $388 51%
Ambetter / Centene $152 - $190 171%
Employers Health Network $232 261%
Physician Reach Out $262 295%
Magellan $314 353%
Gmmi $341 384%
Quik Trip $341 384%
Healthgram $419 471%
Provider Select $424 - $472 477%
Private Health Care Systems $430 484%
First Health $435 489%
Beechstreet $472 531%
Multiplan $482 542%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10628 Park Rd, Charlotte, NC 28210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals