CMS Price Transparency Data

X-ray, foot

Facility: Butler County Health

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $427
Cash Discount Price: $443
vs. Medicare Baseline: 4.80x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Butler County Health is $427. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $443. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.80x the Medicare baseline. Located in 372 South 9Th Street, David City, NE.

Cash / Self-Pay

$443

Average discount available for prompt cash payment at this facility.

Insurance Median

$427

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: $443 (498%)

Insurance Median: $427 (480%)

Cash: $443 (498% of Medicare)

Ins. Median: $427 (480% 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 480% of the Medicare baseline (a markup of 380%). 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
UnitedHealthcare	$162 - $440	182%
Medica	$178 - $440	200%
Humana	$266 - $274	299%
Ambetter / Centene	$414 - $427	466%
Blue Cross Blue Shield	$414 - $427	466%
Multiplan	$414 - $427	466%
Nebraska Total Care	$414 - $427	466%
Aetna	$422 - $435	475%
Cigna	$427 - $440	480%
Corvel	$427 - $440	480%
Midlands Choice	$427 - $440	480%
Three Rivers	$427 - $440	480%

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 $443.
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 Butler County Health 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.