CMS Price Transparency Data

X-ray, foot

Facility: Ira Davenport Memorial Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $416
Cash Discount Price: $444
vs. Medicare Baseline: 4.68x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Ira Davenport Memorial Hospital is $416. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $444. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.68x the Medicare baseline. Located in 7571 State Route 54, Bath, NY.

Cash / Self-Pay

$444

Average discount available for prompt cash payment at this facility.

Insurance Median

$416

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: $444 (499%)

Insurance Median: $416 (468%)

Cash: $444 (499% of Medicare)

Ins. Median: $416 (468% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 468% of the Medicare baseline (a markup of 368%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Empire	$6 - $31	7%
Blue Cross Blue Shield	$34 - $2,804	38%
Fidelis	$93	105%
Humana	$104 - $832	117%
Tricare	$104	117%
Amerihealth Caritas Mcr Adv - All Plans	$105	118%
Fidelis Care - Exchange - All Plans	$244 - $508	274%
Geisinger - All Plans	$258 - $538	290%
Cigna	$277 - $576	312%
Mvp Health Plan - All Plans	$277 - $576	312%
Independent Health - All Plans	$289 - $601	325%
Upmc - All Plans	$306 - $638	344%
Pomco Inc - All Plans	$320 - $665	360%
Aetna	$333 - $825	375%
UnitedHealthcare	$333 - $970	375%
Emblem Health - All Plans	$391 - $813	440%
Emblem/Ghi	$410 - $854	461%
Martins Point - All Plans	$444 - $924	499%
Healthnow - All Plans	$1,462 - $3,044	1644%

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 $444.
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 Ira Davenport Memorial Hospital 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.