CMS Price Transparency Data

X-ray, foot

Facility: Carolina East Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $329
Cash Discount Price: $301
vs. Medicare Baseline: 3.70x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Carolina East Medical Center is $329. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $301. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.70x the Medicare baseline. Located in 2000 Neuse Blvd, New Bern, NC.

Cash / Self-Pay

$301

Average discount available for prompt cash payment at this facility.

Insurance Median

$329

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: $301 (339%)

Insurance Median: $329 (370%)

Cash: $301 (339% of Medicare)

Ins. Median: $329 (370% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 370% of the Medicare baseline (a markup of 270%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Humana	$8 - $83	9%
Inclusive Health (Nchirp)-All Plans	$8 - $83	9%
Tricare	$8 - $752	9%
Pamlico Co Jail-All Plans	$36 - $200	40%
Craven Co. Jail Systems - All Plans	$47 - $253	53%
UnitedHealthcare	$47 - $535	53%
Medcost Ppo Employees And Retirees	$89 - $494	100%
Medcost Ppo Ultra (Employees)	$89 - $470	100%
Blue Cross Blue Shield	$94 - $516	106%
Medcost Ppo City Employees	$98 - $548	110%
Medcost Ppo County Employee	$102 - $570	115%
Benefit Mgmt, Svcs-All Plans	$115 - $639	129%
Medcost Benefit Svc-All Other Plans	$119 - $665	134%
Aetna	$120 - $666	135%
Acs Consult Svc Inc-All Plans	$122 - $679	137%
Medcost Ppo Standard	$122 - $679	137%
Cigna	$123 - $684	138%

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 $301.
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 Carolina East Medical Center 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.