CMS Price Transparency Data

X-ray, foot

Facility: Southwest General Health Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $148
  • Cash Discount Price: $323
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Southwest General Health Center is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $323. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.66x the Medicare baseline. Located in 18697 Bagley Road, Middleburg Heights, OH.
Cash / Self-Pay
$323

Average discount available for prompt cash payment at this facility.

Insurance Median
$148

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: $323 (363%)
Insurance Median: $148 (166%)
Cash: $323 (363% of Medicare)
Ins. Median: $148 (166% 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
Buckeye $21 - $110 24%
Caresource $21 - $94 24%
Humana $21 - $181 24%
Molina $21 - $110 24%
UnitedHealthcare $21 - $250 24%
Amerihealth Caritas $22 - $94 25%
Medical Mutual $35 - $38 39%
Medical Mutual-Ohio $35 - $45 39%
Blue Cross Blue Shield $45 - $94 51%
Valor Health $45 51%
Healthsmart $128 - $148 144%
Health Design Plus $148 - $171 166%
Clarity Health $160 - $185 180%
Healthspan $160 - $185 180%
Healthsmart Preferred $180 - $208 202%
Ohio Health Choice Plus $193 - $224 217%
Summacare $215 - $250 242%
Aetna $216 - $250 243%
Cigna $218 - $253 245%
Coventry $275 - $319 309%
First Health $275 - $319 309%
Ohio Health Choice $308 - $358 346%
Private Healthare Systems $319 - $370 359%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 18697 Bagley Road, Middleburg Heights, OH 44130
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals