CMS Price Transparency Data

X-ray, foot

Facility: Hillcrest Hospital Claremore

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $1,148
Cash Discount Price: $810
vs. Medicare Baseline: 12.91x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Hillcrest Hospital Claremore is $1,148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $810. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 12.91x the Medicare baseline. Located in 1202 N Muskogee Place, Claremore, OK.

Cash / Self-Pay

$810

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,148

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: $810 (911%)

Insurance Median: $1,148 (1291%)

Cash: $810 (911% of Medicare)

Ins. Median: $1,148 (1291% 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 1291% of the Medicare baseline (a markup of 1191%). 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
Black Lung [6055]	$540 - $810	607%
Healthcare Highways [2210]	$540 - $1,276	607%
Hooray Health [8000]	$540 - $810	607%
Lucent Health [6000]	$540 - $810	607%
Oncology Patient Assistance Programs [2295]	$540 - $810	607%
Oscar Insurance Company [7005]	$540 - $810	607%
Osma Health Network [2345]	$540 - $810	607%
Healthscope Benefits [2290]	$649 - $973	730%
UnitedHealthcare	$649 - $1,270	730%
Resource One Administrators [2815]	$851 - $1,276	957%
Web Tpa [2115]	$851 - $1,422	957%
Beacon Health Options Behavioral Health [2890]	$928 - $1,393	1044%
Aetna	$948 - $1,422	1066%
The Kempton Group Administrators [2905]	$972 - $1,457	1093%
Pba [1775]	$1,075 - $1,613	1209%
Medica [2910]	$1,220 - $1,830	1372%
Employee Benefit Management Services [2445]	$1,576 - $2,364	1773%
Healthcost Solutions [2415]	$1,684 - $2,526	1894%
Healthfirst [2395]	$1,684 - $2,526	1894%
Hometown Health [2155]	$1,684 - $2,526	1894%
Mayo Clinic Health Solutions [2280]	$1,684 - $2,526	1894%
Planned Administrators Inc [2360]	$1,684 - $2,526	1894%
Trustmark [2030]	$1,684 - $2,526	1894%
Universal Fidelity [2085]	$1,684 - $2,526	1894%

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 $810.
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 Hillcrest Hospital Claremore 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.