CMS Price Transparency Data

X-ray, foot

Facility: Catholic Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $170
Cash Discount Price: $855
vs. Medicare Baseline: 1.91x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Catholic Medical Center is $170. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $855. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.91x the Medicare baseline. Located in 100 McGregor Street, Manchester, NH.

Cash / Self-Pay

$855

Average discount available for prompt cash payment at this facility.

Insurance Median

$170

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: $855 (962%)

Insurance Median: $170 (191%)

Cash: $855 (962% of Medicare)

Ins. Median: $170 (191% 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
Blue Cross Blue Shield	$26 - $170	29%
Amerihealth Caritas	$65 - $129	73%
Well Sense Health Plan	$80 - $159	90%
Maine Community Health	$229 - $777	258%
United	$286 - $822	322%
Harvard Pilgrim	$301 - $622	339%
Tufts Health Plan	$374 - $811	421%

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 $855.
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 Catholic Medical 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.