CMS Price Transparency Data

X-ray, foot

Facility: Bay Area Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $104
Cash Discount Price: $164
vs. Medicare Baseline: 1.17x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Bay Area Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.17x the Medicare baseline. Located in 1775 Thompson Road, Coos Bay, OR.

Cash / Self-Pay

$164

Average discount available for prompt cash payment at this facility.

Insurance Median

$104

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: $164 (184%)

Insurance Median: $104 (117%)

Cash: $164 (184% of Medicare)

Ins. Median: $104 (117% 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
Healthnet Mcr Adv	$9 - $112	10%
Moda Hlth Mcr Adv	$9 - $114	10%
Southwest Oregon Ipa - All Plans	$10 - $86	11%
Ods Ppo/Pos - All Plans	$12 - $403	13%
Blue Cross Blue Shield	$18 - $1,447	20%
Nasomah Hlth Grp - All Plans	$19 - $242	21%
Moda Beacon - All Other Plans	$21 - $281	24%
Moda Connexus/Synergy	$24 - $360	27%
Healthnet Comm- All Other Plans	$31 - $384	35%
Healthnet Mcaid	$32 - $104	36%
Prov Behav Hlth	$54	61%
Providence - All Other Plans	$54 - $376	61%
Providence Pebb	$54 - $400	61%
Pacificsource - All Plans	$74 - $343	83%
First Choice - All Plans	$368	414%
Aetna	$372	418%
Cigna	$372	418%
UnitedHealthcare	$384	432%

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 $164.
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 Bay Area Hospital 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.