CMS Price Transparency Data

X-ray, foot

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $76
  • Cash Discount Price: $120
  • vs. Medicare Baseline: 0.85x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Mary Hitchcock Memorial Hospital is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.85x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.
Cash / Self-Pay
$120

Average discount available for prompt cash payment at this facility.

Insurance Median
$76

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: $120 (135%)
Insurance Median: $76 (85%)
Cash: $120 (135% of Medicare)
Ins. Median: $76 (85% 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
Wellsense Health Plan $5 - $103 6%
Amerihealth Caritas Nh $6 - $72 7%
Beacon Health Strategies/Carelon $6 - $77 7%
Granite State Health Plan $6 - $80 7%
Aetna $8 - $444 9%
Ambetter / Centene $8 - $212 9%
Blue Cross Blue Shield $8 - $551 9%
Cigna $8 - $434 9%
Martin'S Point Generations Advantage $8 - $99 9%
Martin'S Point Health Care $8 - $218 9%
Mvp $8 - $423 9%
UnitedHealthcare $8 - $485 9%
Wellcare Health Plans $8 - $102 9%
Harvard Pilgrim Health Care Of Ne $10 - $430 11%
Mass General Brigham Health Plan $22 - $393 25%
Tufts Health Plan $26 - $369 29%
Maine Community Health Options $98 - $465 110%
Coventry $134 - $550 151%
First Health/Hcvm $134 - $550 151%
Phcs $139 - $569 156%
Corvel $142 - $581 160%
Ccmsi $146 - $600 164%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Medical Center Drive, Lebanon, NH 03756
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals