CMS Price Transparency Data

X-ray, foot

Facility: Chan Soon- Shiong Medical Center at Windber

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $37
Cash Discount Price: $191
vs. Medicare Baseline: 0.42x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Chan Soon- Shiong Medical Center at Windber is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $191. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.42x the Medicare baseline. Located in 600 Somerset Avenue, Windber, PA.

Cash / Self-Pay

$191

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $191 (215%)

Insurance Median: $37 (42%)

Cash: $191 (215% of Medicare)

Ins. Median: $37 (42% 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
Amerihealth Caritas	$12 - $83	13%
Geisinger	$12 - $140	13%
Highmark Wholecare	$13	15%
Upmc Health Plan	$13 - $83	15%
Pa Health & Wellness	$14 - $83	16%
United	$22 - $134	25%
Highmark	$25 - $166	28%
Aetna	$31 - $83	35%
Humana	$31 - $83	35%
Cigna	$32 - $162	36%
Senior Life	$32 - $85	36%
Va Ccn	$32 - $85	36%

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 $191.
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 Chan Soon- Shiong Medical Center at Windber 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.