CMS Price Transparency Data

X-ray, foot

Facility: UPMC Bedford Memorial

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $120
Cash Discount Price: $116
vs. Medicare Baseline: 1.35x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at UPMC Bedford Memorial is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.35x the Medicare baseline. Located in 10455 Lincoln Highway, Everett, PA.

Cash / Self-Pay

$116

Average discount available for prompt cash payment at this facility.

Insurance Median

$120

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: $116 (130%)

Insurance Median: $120 (135%)

Cash: $116 (130% of Medicare)

Ins. Median: $120 (135% 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
Aetna	$30 - $129	34%
Upmc Health Plan	$31 - $113	35%
Upmc Work Partners	$68	76%
Cigna	$77 - $129	87%
Blue Cross Blue Shield	$84 - $114	94%
UnitedHealthcare	$90 - $129	101%
Amerihealth Caritas	$91	102%
Highmark Wholecare (Prev Gateway)	$91	102%
Pa Health & Wellness	$91 - $106	102%
Geisinger	$106	119%
Intergroup	$125 - $174	141%
Coventry/First Health	$135	152%
Preferred Healthcare System	$154	173%
Health Coalition Partners	$174	196%
Humana	$174	196%
Private Health Care Systems	$174	196%
Selectcare	$174	196%

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 $116.
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 UPMC Bedford Memorial 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.