CMS Price Transparency Data

X-ray, foot

Facility: PAM Specialty Hospital of Rocky Mount LLC

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $749
Cash Discount Price: $942
vs. Medicare Baseline: 8.42x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at PAM Specialty Hospital of Rocky Mount LLC is $749. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $942. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.42x the Medicare baseline. Located in 1051 Noell Ln, Rocky Mount, NC.

Cash / Self-Pay

$942

Average discount available for prompt cash payment at this facility.

Insurance Median

$749

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: $942 (1059%)

Insurance Median: $749 (842%)

Cash: $942 (1059% of Medicare)

Ins. Median: $749 (842% 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 842% of the Medicare baseline (a markup of 742%). 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
America'S Choice	$600 - $719	675%
Provider Network Of America	$642 - $771	722%
Quik Trip	$642 - $771	722%
Usa Managed Care Organization	$642 - $771	722%
Velocity Provider Ppo Network	$642 - $771	722%
Healthsmart	$668 - $802	751%
Evolutions Healthcare System	$685 - $822	770%
Multiplan/Phcs	$685 - $822	770%
Fortified Provider Network	$728 - $874	819%
Prime Health Services	$728 - $874	819%
Integrated Health Plan	$814 - $976	916%

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 $942.
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 PAM Specialty Hospital of Rocky Mount LLC 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.