CMS Price Transparency Data

X-ray, foot

Facility: UPMC Chautauqua at Wca

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $133
Cash Discount Price: $122
vs. Medicare Baseline: 1.50x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at UPMC Chautauqua at Wca is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.50x the Medicare baseline. Located in 207 Foote Avenue, Jamestown, NY.

Cash / Self-Pay

$122

Average discount available for prompt cash payment at this facility.

Insurance Median

$133

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: $122 (137%)

Insurance Median: $133 (150%)

Cash: $122 (137% of Medicare)

Ins. Median: $133 (150% 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
Univera	$36	40%
Magnacare	$38 - $153	43%
Independent Health	$93 - $118	105%
Beacon	$108 - $134	121%
Fidelis	$108	121%
Humana	$108 - $163	121%
United Behavioral Health	$108	121%
UnitedHealthcare	$108 - $133	121%
Upmc Health Plan	$108 - $122	121%
Wellcare	$111	125%
Aetna	$112 - $133	126%
Geisinger	$112	126%
Multiplan	$153	172%
Ghi/Emblem Health	$163	183%
Statewide Independent Ppo	$180	202%
Affordable First Health	$184	207%
Blue Cross Blue Shield	$270	304%

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 $122.
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 UPMC Chautauqua at Wca 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.