CMS Price Transparency Data

X-ray, foot

Facility: Howard County Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $100
  • Cash Discount Price: $343
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Howard County Medical Center is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $343. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.12x the Medicare baseline. Located in P O Box 406, 1113 Sherman St, St Paul, NE.
Cash / Self-Pay
$343

Average discount available for prompt cash payment at this facility.

Insurance Median
$100

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: $343 (386%)
Insurance Median: $100 (112%)
Cash: $343 (386% of Medicare)
Ins. Median: $100 (112% 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.

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
Medica Standard Premier $7 - $31 8%
Aetna $8 - $326 9%
Medica Elevate $15 - $61 17%
Midland'S Choice $15 - $64 17%
Humana $26 29%
Blue Cross Blue Shield $30 - $326 34%
Great Plains $30 - $196 34%
Medica Chi $30 - $196 34%
Tricare $30 - $257 34%
UnitedHealthcare $30 - $329 34%
Nebraska Total Care - Wellcare $31 35%
Molina Healthcare $32 - $172 36%
Oscar Health $53 60%
Ambetter / Centene $61 69%
Beshp $61 69%
Nebraska Total Care $172 193%
Medica Chi Aco $312 351%
Medica Choice National $312 351%
Medica Ifb Aco $329 370%
Medica Ifb Open Access $329 370%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: P O Box 406, 1113 Sherman St, St Paul, NE 68873
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals