CMS Price Transparency Data

X-ray, foot

Facility: Mary Lanning Healthcare

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $90
Cash Discount Price: $312
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Mary Lanning Healthcare is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $312. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.01x the Medicare baseline. Located in 715 N St Joseph Ave, Hastings, NE.

Cash / Self-Pay

$312

Average discount available for prompt cash payment at this facility.

Insurance Median

$90

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: $312 (351%)

Insurance Median: $90 (101%)

Cash: $312 (351% of Medicare)

Ins. Median: $90 (101% 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
Tricare	$7 - $85	8%
Aetna	$8 - $513	9%
Blue Cross Blue Shield	$8 - $583	9%
Medica Mcr Adv	$8 - $90	9%
Ne Total Care Mcr Adv	$8 - $90	9%
UnitedHealthcare	$8 - $553	9%
Va Ccn - All Plans	$8 - $90	9%
Consociate Inc-All Plans	$12 - $489	13%
Ambetter / Centene	$13 - $407	15%
Medica-All Other Plans	$13 - $507	15%
Nhn/Mna-All Plans	$14 - $472	16%
Midlands Choice-All Plans	$19 - $524	21%
Workers Compensation-All Plans	$90 - $571	101%
Multiplan-All Plans	$99 - $553	111%
Provider Network Of America-All Plans	$99 - $524	111%

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 $312.
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 Mary Lanning Healthcare 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.