CMS Price Transparency Data
X-ray, foot
Facility: Mercy Hospital Logan County
Billing Code: 73630 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73630
- Insurance Median: $272
- Cash Discount Price: $397
- vs. Medicare Baseline: 3.06x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Mercy Hospital Logan County is $272. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $397. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.06x the Medicare baseline. Located in 200 S Academy Rd, Guthrie, OK.
Cash / Self-Pay
$397
Average discount available for prompt cash payment at this facility.
Insurance Median
$272
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: $397 (447%)
Insurance Median: $272 (306%)
Cash: $397 (447% of Medicare)
Ins. Median: $272 (306% 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 306% of the Medicare baseline (a markup of 206%). 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.
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 |
|---|---|---|
| Aetna | $22 - $451 | 25% |
| Humana | $22 - $615 | 25% |
| Medicaid / KanCare | $22 - $231 | 25% |
| Tricare | $113 - $191 | 127% |
| Blue Cross Blue Shield | $116 - $369 | 130% |
| Cherokee Nation Health Serv Contracted [320066] | $116 - $196 | 130% |
| Cross Timbers Hospice [20098] | $116 - $196 | 130% |
| Dept Of Veteran Affairs Contracted [320106] | $116 - $196 | 130% |
| Elara Caring Aspire Hospice Contracted [320433] | $116 - $196 | 130% |
| Elara Caring Aspire Hospice [20433] | $116 - $196 | 130% |
| Halo Hcr Inc Hospice Contracted [320432] | $116 - $196 | 130% |
| Halo Hcr Inc Hospice [20432] | $116 - $196 | 130% |
| Independent Health [20197] | $116 - $196 | 130% |
| Indian Health Service Contracted [320198] | $116 - $196 | 130% |
| Kindful Hospice Contracted [320434] | $116 - $196 | 130% |
| Kindful Hospice [20434] | $116 - $196 | 130% |
| Medical Associates Health [20444] | $116 - $196 | 130% |
| Medicare (plans) | $116 - $384 | 130% |
| Mercy Hospice Okc [20252] | $116 - $196 | 130% |
| Provider Partners Health Plans Contracted [320450] | $116 - $196 | 130% |
| Qual Choice Contracted [320325] | $116 - $196 | 130% |
| Tribute Health Plan Mcr Contracted [320338] | $116 - $196 | 130% |
| UnitedHealthcare | $116 - $538 | 130% |
| Globalhealth Contracted [320145] | $118 - $200 | 133% |
| Cigna | $119 - $654 | 134% |
| Ambetter / Centene | $136 - $231 | 153% |
| Home State Health Plan Contracted [320187] | $136 - $231 | 153% |
| Novasys Contracted [320285] | $136 - $231 | 153% |
| Webtpa Contracted [320417] | $191 - $323 | 215% |
| Health Choice Contracted [320166] | $198 | 223% |
| Medica Contracted [320239] | $227 - $384 | 255% |
| Community Care Contracted [320080] | $259 | 291% |
| Aither Health Contracted [320449] | $272 - $654 | 306% |
| Auxiant Contracted [320462] | $272 - $654 | 306% |
| Federal Medical Center Contracted [320127] | $272 - $461 | 306% |
| Healthlink Contracted [320179] | $272 - $654 | 306% |
| Healthscope Contracted [320182] | $272 - $461 | 306% |
| Mercy Benefit Admin Contracted [320251] | $272 - $654 | 306% |
| Point C Contracted [320238] | $272 - $461 | 306% |
| Preferred Health Plan Contracted [320522] | $272 - $461 | 306% |
| Quik Trip Contracted [320447] | $272 - $461 | 306% |
| Show-Me Health Administrators Contracted [320483] | $272 - $461 | 306% |
| United Medical Resources Contracted [320454] | $272 - $538 | 306% |
| Osma Health Contracted [320292] | $318 - $538 | 358% |
| United Behavioral Health Contracted [320390] | $318 - $538 | 358% |
| Benefit Management Contracted [320052] | $340 - $692 | 382% |
| Globalhealth Contracted [320144] | $340 - $577 | 382% |
| Healthcare Highways Plus Contracted [320175] | $340 - $577 | 382% |
| Private Health Care Systems Contracted [320320] | $340 - $615 | 382% |
| First Health Contracted [320128] | $355 - $601 | 399% |
| Multiplan Contracted [320270] | $363 - $692 | 408% |
| Ebms Contracted [320493] | $386 - $654 | 434% |
| Imagine 360 Contracted [320494] | $386 - $654 | 434% |
| Preferred Community Choice Contracted [320311] | $386 - $654 | 434% |
| Reflect Health Contracted [320492] | $386 - $654 | 434% |
| Yuzu Health Contracted [320521] | $386 - $654 | 434% |