CMS Price Transparency Data

X-ray, foot

Facility: St John Owasso

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $84
Cash Discount Price: $205
vs. Medicare Baseline: 0.94x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at St John Owasso is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $205. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.94x the Medicare baseline. Located in 12451 East 100Th Street North, Owasso, OK.

Cash / Self-Pay

$205

Average discount available for prompt cash payment at this facility.

Insurance Median

$84

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: $205 (231%)

Insurance Median: $84 (94%)

Cash: $205 (231% of Medicare)

Ins. Median: $84 (94% 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.

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
First Health	$11 - $34	12%
Aetna	$21	24%
Blue Cross Blue Shield	$65 - $88	73%
Champva	$84	94%
Community Care - St John Network Senior - Govt	$84	94%
Communitycare Senior	$84	94%
Life Pace	$84	94%
Longevity Health Plan Of Oklahoma	$84	94%
Medicare (plans)	$84	94%
UnitedHealthcare	$84 - $86	94%
Va Community Care Network	$84	94%
Veterans Administration	$84	94%
Humana	$85	96%
Communitycare (Standard)	$92	103%
Community Care (Select) 7/1/13	$100	112%
Ccl&H	$109	123%
Smarthealth	$117	132%
Community Care Smarthealth	$126 - $201	142%
Communitycare (Select)	$126 - $193	142%
Connect Health Benefit	$168	189%
Evolutions	$168	189%
Kempton Group Administrators	$188	211%

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 $205.
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 St John Owasso 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.