CMS Price Transparency Data

X-ray, foot

Facility: Hillcrest Hospital Henryetta

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $865
Cash Discount Price: $377
vs. Medicare Baseline: 9.73x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Hillcrest Hospital Henryetta is $865. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $377. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 9.73x the Medicare baseline. Located in 2401 W Main, Henryetta, OK.

Cash / Self-Pay

$377

Average discount available for prompt cash payment at this facility.

Insurance Median

$865

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: $377 (424%)

Insurance Median: $865 (973%)

Cash: $377 (424% of Medicare)

Ins. Median: $865 (973% 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 973% of the Medicare baseline (a markup of 873%). 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]	$252 - $377	283%
Lucent Health [6000]	$252 - $377	283%
Aetna	$442 - $662	497%
Coresource [1315]	$442 - $662	497%
Coventry Healthcare [1320]	$442 - $662	497%
Meritain Health [1655]	$442 - $662	497%
Cigna	$551 - $827	620%
Healthpartners [1500]	$551 - $827	620%
National Association Of Letter Carriers [1695]	$551 - $827	620%
Pba [1775]	$551 - $827	620%
Global Health [1430]	$624 - $936	702%
First Health [1375]	$682 - $1,298	767%
Multiplan [1680]	$682 - $1,298	767%
Healthcare Solutions [1485]	$714 - $1,071	803%
Community Care [1290]	$805 - $1,207	905%
Fmh Benefit Services [1390]	$805 - $1,207	905%
Group Resources [1455]	$805 - $1,207	905%
Phcs [1780]	$805 - $1,298	905%
Healthsmart [1505]	$855 - $1,283	962%
Administrative Concepts [1005]	$865 - $1,298	973%
Allied Benefit Systems Inc [1030]	$865 - $1,298	973%
Allied National Global Care [1035]	$865 - $1,298	973%
Gilsbar [1425]	$865 - $1,298	973%
Healthnet [1495]	$865 - $1,298	973%
New Era Life Insurance Company [1705]	$865 - $1,298	973%
Pan American Life Insurance Co [1770]	$865 - $1,298	973%
Trustmark [2030]	$865 - $1,298	973%
Pending Ssi [1616]	$1,006 - $1,509	1131%

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 $377.
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 Henryetta 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.