CMS Price Transparency Data

X-ray, foot

Facility: Vidant Chowan Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $586
Cash Discount Price: $612
vs. Medicare Baseline: 6.59x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Vidant Chowan Hospital is $586. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $612. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.59x the Medicare baseline. Located in 211 Virginia Rd, Edenton, NC.

Cash / Self-Pay

$612

Average discount available for prompt cash payment at this facility.

Insurance Median

$586

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: $612 (688%)

Insurance Median: $586 (659%)

Cash: $612 (688% of Medicare)

Ins. Median: $586 (659% 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 659% of the Medicare baseline (a markup of 559%). 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
Blue Cross Blue Shield	$264 - $793	297%
Carolina Complete Health [1317]	$266 - $396	299%
Wellcare [1320]	$268 - $398	301%
Amerihealth McAid Adv [1316]	$269 - $400	303%
Humana	$272 - $405	306%
UnitedHealthcare	$296 - $805	333%
Liberty Advantage [1313]	$305 - $454	343%
Aetna	$313 - $1,069	352%
Longevity Health [1411]	$377 - $561	424%
Nc Dept of Public Safety [1095]	$492 - $732	553%
Medcost [1067]	$556 - $872	625%
Cigna	$746 - $1,242	839%
Multiplan [1031]	$834 - $1,242	938%

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 $612.
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 Vidant Chowan Hospital 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.