CMS Price Transparency Data

X-ray, foot

Facility: Saint Mary's Regional Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $109
Cash Discount Price: $94
vs. Medicare Baseline: 1.23x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Saint Mary's Regional Medical Center is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.23x the Medicare baseline. Located in 235 W 6Th St, Reno, NV.

Cash / Self-Pay

$94

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $94 (106%)

Insurance Median: $109 (123%)

Cash: $94 (106% of Medicare)

Ins. Median: $109 (123% 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	$25 - $182	28%
Health Plan Of Nevada	$25 - $95	28%
Medicaid / KanCare	$25	28%
Molina Healthcare Of Nv	$25 - $95	28%
Silver Summit	$25 - $166	28%
Access To Healthcare Network	$50	56%
Aetna	$77 - $95	87%
Occunet	$87 - $189	98%
Medicare (plans)	$95	107%
Saint Mary Health Plan	$95 - $109	107%
Sierra	$95	107%
Tricare	$95	107%
Triwest	$95	107%
Alignment	$97	109%
UnitedHealthcare	$97 - $329	109%
Pam	$109	123%
Veterans Evaluation Service Ves	$118	133%
Employer Direct	$133	150%
Home Town Test	$133	150%
Naphcare	$133	150%
Asserta Health	$142	160%
Imperial Insurance Company	$142 - $175	160%
Custom Ink	$147	165%
Nevada Health Partners	$176	198%
6 Degrees	$189	213%
Nv Preferred	$201 - $215	226%

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 $94.
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 Saint Mary's Regional 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.