CMS Price Transparency Data

X-ray, foot

Facility: Jacobson Memorial Hospital Care Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $128
Cash Discount Price: $107
vs. Medicare Baseline: 1.44x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Jacobson Memorial Hospital Care Center is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.44x the Medicare baseline. Located in 601 East St N, Elgin, ND.

Cash / Self-Pay

$107

Average discount available for prompt cash payment at this facility.

Insurance Median

$128

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: $107 (120%)

Insurance Median: $128 (144%)

Cash: $107 (120% of Medicare)

Ins. Median: $128 (144% 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.

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
Aetna	$85 - $142	96%
Medicaid / KanCare	$102	115%
Tricare	$106	119%
UnitedHealthcare	$108 - $142	121%
Medica	$114	128%
Tlc Advantage	$114	128%
Cigna	$128	144%
Healthpartners	$128	144%
Medicare (plans)	$128 - $170	144%
Multiplan Commercial	$128	144%
Blue Cross Blue Shield	$142 - $199	160%
Humana	$142	160%
Nextblue	$142	160%
Sanford Health Plan	$142	160%

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 $107.
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 Jacobson Memorial Hospital Care 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.