CMS Price Transparency Data
X-ray, foot
Facility: Mount Carmel Dublin
Billing Code: 73630 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73630
- Insurance Median: $301
- Cash Discount Price: $350
- vs. Medicare Baseline: 3.39x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Mount Carmel Dublin is $301. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $350. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.39x the Medicare baseline. Located in 4105 Emerald Pkwy, Dublin, OH.
Cash / Self-Pay
$350
Average discount available for prompt cash payment at this facility.
Insurance Median
$301
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: $350 (394%)
Insurance Median: $301 (339%)
Cash: $350 (394% of Medicare)
Ins. Median: $301 (339% 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 339% of the Medicare baseline (a markup of 239%). 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicare (plans) | $74 - $88 | 83% |
| Aetna | $82 - $305 | 92% |
| Blue Cross Blue Shield | $82 - $647 | 92% |
| Oscar | $84 | 94% |
| UnitedHealthcare | $84 - $324 | 94% |
| The Health Plan | $86 | 97% |
| Enterprise Group Planning | $162 | 182% |
| Custom Design Benefits | $175 | 197% |
| American Postal Workers Secondary | $179 | 201% |
| Cigna | $179 | 201% |
| Health Partners | $179 | 201% |
| Healthgram | $179 | 201% |
| Mvp | $179 | 201% |
| Priority Health | $179 | 201% |
| Quality Care Partners | $190 | 214% |
| Geha | $194 - $324 | 218% |
| Gravie Admin Services | $194 - $290 | 218% |
| Healthez | $194 - $290 | 218% |
| Meritain | $194 - $290 | 218% |
| Webtpa | $194 - $290 | 218% |
| Access Health | $201 - $302 | 226% |
| Acclaim | $201 - $302 | 226% |
| Administrative Concepts | $201 - $302 | 226% |
| Allegeant | $201 - $302 | 226% |
| Allied Benefit Systems | $201 - $302 | 226% |
| American Family | $201 - $302 | 226% |
| American Healthcare Alliance | $201 - $302 | 226% |
| American National | $201 - $302 | 226% |
| American Republic | $201 - $302 | 226% |
| Amerihealth | $201 - $302 | 226% |
| Aultcare | $201 - $302 | 226% |
| Automated Benefit Services | $201 - $302 | 226% |
| Auxiant | $201 - $302 | 226% |
| Benefit Administrative Systems,Llc | $201 - $302 | 226% |
| Boon Chapman | $201 - $302 | 226% |
| Cam Administrative Services | $201 - $302 | 226% |
| Christian Brother Services | $201 - $302 | 226% |
| Christian Brothers Holy Cross | $201 - $302 | 226% |
| Claimchoice Adminstrators | $201 - $302 | 226% |
| Comprehensive Benefits | $201 - $302 | 226% |
| Continental Life Insurance | $201 - $302 | 226% |
| Coventry | $201 - $302 | 226% |
| Custom Benefit Administrators | $201 - $302 | 226% |
| Cypress Benefit Administrators | $201 - $302 | 226% |
| Employee Benefit Concepts | $201 - $302 | 226% |
| Employee Benefit Management | $201 - $302 | 226% |
| Forest County Potawatomi | $201 - $302 | 226% |
| Freedom Life Insurance Company | $201 - $302 | 226% |
| Group Administrators | $201 - $302 | 226% |
| Group Marketing Services | $201 - $302 | 226% |
| Group Pension Administrators | $201 - $302 | 226% |
| Guardian | $201 - $302 | 226% |
| Health America | $201 - $302 | 226% |
| Health Choices | $201 - $302 | 226% |
| Healthcare Management Admin | $201 - $302 | 226% |
| Insight | $201 - $302 | 226% |
| Intercare | $201 - $302 | 226% |
| Jfp Benefit Management | $201 - $302 | 226% |
| Jp Farley Corporation | $201 - $302 | 226% |
| Key Benefit Administrator | $201 - $302 | 226% |
| Liberty Union Life Assurance Co | $201 - $302 | 226% |
| Lucent Health | $201 - $302 | 226% |
| Luminare Health | $201 - $302 | 226% |
| Magnacare | $201 - $302 | 226% |
| Medcost | $201 - $302 | 226% |
| Mutual Health Services | $201 - $302 | 226% |
| Mutual Of Omaha | $201 - $302 | 226% |
| Ncas | $201 - $302 | 226% |
| Nippon Life Ins | $201 - $302 | 226% |
| Nova | $201 - $302 | 226% |
| Painters Union Insurance Fund | $201 - $302 | 226% |
| Physicians Mutual | $201 - $302 | 226% |
| Plumbers Local 98 Insurance Fund | $201 - $302 | 226% |
| Prairie States | $201 - $302 | 226% |
| Preferred One | $201 - $302 | 226% |
| Primary Physician Care | $201 - $302 | 226% |
| Professional Benefit Administrators | $201 - $302 | 226% |
| Secureone Preferred United Plans | $201 - $302 | 226% |
| Siho Insurance Services | $201 - $302 | 226% |
| Sisco Benefits | $201 - $302 | 226% |
| The Loomis Company | $201 - $302 | 226% |
| Trustmark Small Business Benefits | $201 - $302 | 226% |
| U Of M Health Plan | $201 - $302 | 226% |
| Unicare | $201 - $302 | 226% |
| Unified Group Services | $201 - $302 | 226% |
| Us Health And Life | $201 - $302 | 226% |
| Valenz | $201 - $302 | 226% |
| Varipro | $201 - $302 | 226% |
| Wps | $201 - $302 | 226% |
| Rural Carrier Health Benefit Plan | $203 - $305 | 228% |
| Medical Mutual | $206 - $284 | 232% |
| Humana | $220 - $647 | 247% |
| First Health | $227 - $341 | 255% |
| Paramount Hmo | $227 - $341 | 255% |
| Medben | $259 - $485 | 291% |
| Consociate | $263 - $395 | 296% |
| Health Ohio Network | $263 - $395 | 296% |
| Western & Southern Financial Group | $284 | 319% |
| Healthlink Inc | $323 - $485 | 363% |
| Medical Benefits Mutual | $323 - $485 | 363% |
| Ohio Health Choice | $323 - $485 | 363% |
| Ohio Ppo Connect | $323 - $485 | 363% |
| Medi Share | $344 - $517 | 387% |
| Multiplan | $344 - $517 | 387% |
| Phcs | $344 - $517 | 387% |
| Philadelphia American Life Insurance | $344 - $517 | 387% |
| Ameriben | $345 - $518 | 388% |
| Luminare Health (Detroit) | $345 - $518 | 388% |
| Ohiohealthy | $345 - $518 | 388% |
| Osu Not Independent Choice | $345 - $518 | 388% |
| Twin Valley Psychiatric | $345 - $518 | 388% |
| Health Smart | $366 - $550 | 412% |
| Medicaid / KanCare | $431 - $647 | 485% |