CMS Price Transparency Data

X-ray, foot

Facility: Ohio Valley Surgical Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $183
  • Cash Discount Price: $239
  • vs. Medicare Baseline: 2.06x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Ohio Valley Surgical Hospital is $183. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $239. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.06x the Medicare baseline. Located in 100 West Main Street, Springfield, OH.
Cash / Self-Pay
$239

Average discount available for prompt cash payment at this facility.

Insurance Median
$183

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: $239 (269%)
Insurance Median: $183 (206%)
Cash: $239 (269% of Medicare)
Ins. Median: $183 (206% 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 206% of the Medicare baseline (a markup of 106%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $38 - $19,398 43%
Geha $38 - $19,398 43%
Genworth $38 - $19,398 43%
Mail Handlers $38 - $19,398 43%
Meritain $38 - $19,398 43%
Meritain Heatlh $38 - $19,398 43%
Mhbp $38 - $19,398 43%
Ngs Coresource $38 - $19,398 43%
Nippon Life $38 - $19,398 43%
Pacific Source $38 - $19,398 43%
Personify Health $38 - $19,398 43%
Aarp $84 - $11,062 94%
Aarp Supplemental $84 - $11,062 94%
American Continental Insurance $84 - $11,062 94%
American Continental Life $84 - $11,062 94%
American Republic $84 - $11,062 94%
American Retirement $84 - $11,062 94%
Aultcare Primetime Health Plan $84 - $11,062 94%
Bankers Fidelity $84 - $11,062 94%
Bankers Life And Casualty $84 - $11,062 94%
Blue Cross Blue Shield $84 - $37,504 94%
Central States $84 - $11,062 94%
Champus $84 - $11,062 94%
Cigna $84 - $17,271 94%
Communicare Advantage $84 - $11,062 94%
Everest $84 - $11,062 94%
Gateway Health Plan $84 - $11,062 94%
Humana $84 - $11,064 94%
Medicare (plans) $84 - $11,415 94%
Medigold $84 - $11,062 94%
Mmoh $84 - $11,062 94%
Molina $84 - $11,062 94%
Molina Dual Mcr $84 - $11,062 94%
Molina Marketplace $84 - $11,062 94%
Molina Dual Mcr $84 - $11,062 94%
Molina Mcr $84 - $11,062 94%
Molina Mcr Mcd $84 - $11,062 94%
Molina Mcr+Mcd $84 - $11,062 94%
Patient No Pay $84 - $11,062 94%
Prosperity Supplement $84 - $11,062 94%
UnitedHealthcare $84 - $16,360 94%
Wellcare By Allwell $84 - $11,062 94%
Wraparound Pl Supp $84 - $11,062 94%
The Health Plan $88 - $11,615 99%
Self Pay Imaging $95 - $11,062 107%
Employer Direct $97 - $11,497 109%
Devoted Health $98 - $12,724 110%
Caresource $126 - $16,593 142%
Caresourse $126 - $16,593 142%
Medicaid / KanCare $126 - $16,593 142%
Golden Rule $132 - $16,360 148%
Medica $132 - $16,360 148%
Oxford $132 - $16,360 148%
Shl $132 - $16,360 148%
Surest $132 - $16,360 148%
Ushealth $132 - $16,360 148%
Healthgram $136 - $17,271 153%
Nalc $136 - $17,271 153%
Samba $136 - $17,271 153%
Sbma $136 - $17,271 153%
Unified Group $136 - $17,271 153%
Mmo Cin. Hmo $183 - $251 206%
Mmoh (Supermed) $183 - $185 206%
Luminare Health $358 403%
Medben $358 403%
Ohio Health $358 403%
Preferred Health $358 403%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 West Main Street, Springfield, OH 45502
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals