CMS Price Transparency Data

X-ray, foot

Facility: Lower Bucks Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $86
Cash Discount Price: $85
vs. Medicare Baseline: 0.97x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Lower Bucks Hospital is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.97x the Medicare baseline. Located in 501 Bath Road, Bristol, PA.

Cash / Self-Pay

$85

Average discount available for prompt cash payment at this facility.

Insurance Median

$86

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: $85 (96%)

Insurance Median: $86 (97%)

Cash: $85 (96% of Medicare)

Ins. Median: $86 (97% 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
Health Partners Plan	$12 - $128	13%
Keystone	$12 - $89	13%
Medicaid / KanCare	$12	13%
UnitedHealthcare	$13 - $183	15%
Humana	$68	76%
Blue Cross Blue Shield	$71 - $86	80%
Medicare (plans)	$86 - $90	97%
Pa Health & Wellness	$86 - $103	97%
Tricare	$86	97%
Provider Patners Health Plan	$88	99%
Spartan Plan Pa	$90	101%
Auto Insurance	$94	106%
Worker Compensation	$97	109%
Employer Direct Healthcare	$120	135%
Highmark	$191	215%
Cigna	$207	233%

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 $85.
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 Lower Bucks 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.