CMS Price Transparency Data

X-ray, foot

Facility: Ohiohealth Morrow County Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $148
  • Cash Discount Price: $255
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Ohiohealth Morrow County Hospital is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $255. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.66x the Medicare baseline. Located in 651 West Marion Road, Mount Gilead, OH.
Cash / Self-Pay
$255

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: $255 (287%)
Insurance Median: $148 (166%)
Cash: $255 (287% 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
Blue Cross Blue Shield $70 - $303 79%
Medicaid / KanCare $70 - $71 79%
UnitedHealthcare $70 - $322 79%
Amerihealth Caritas - All Plans $72 81%
Humana $72 - $365 81%
Molina Exchange - All Other Plans $115 129%
Medicare (plans) $145 - $148 163%
Aetna $148 - $338 166%
Caresource Marketplace - All Other Plans $182 205%
Medical Mutual Of Ohio Marketplace $294 331%
Ohiohealthy Network - All Other Plans $294 331%
Ohiohealthy Preferred $294 331%
Medical Mutual Of Ohio Comm - All Other Plans $318 358%
Medical Mutual Of Ohio - Admin Serv $334 376%
Phcs - All Plans $361 406%
Cigna $369 415%
Multiplan - All Plans $373 420%
Healthstar Comm - All Plans $377 424%
Beech Street - All Plans $381 429%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 West Marion Road, Mount Gilead, OH 43338
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals