CMS Price Transparency Data

X-ray, foot

Facility: Independence Health System Butler Memorial Hospita

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $222
Cash Discount Price: $466
vs. Medicare Baseline: 2.50x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Independence Health System Butler Memorial Hospita is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $466. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.50x the Medicare baseline. Located in One Hospital Way, Butler, PA.

Cash / Self-Pay

$466

Average discount available for prompt cash payment at this facility.

Insurance Median

$222

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: $466 (524%)

Insurance Median: $222 (250%)

Cash: $466 (524% of Medicare)

Ins. Median: $222 (250% 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 250% of the Medicare baseline (a markup of 150%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Upmc	$20 - $931	22%
Aetna	$66 - $710	74%
Pnoa	$71 - $710	80%
Ccbh - Behavioral Health	$83 - $444	93%
Highmark	$83 - $179	93%
Highmark - Ind.& Managed Care	$83 - $199	93%
Highmark Aca - Direct Blue	$83 - $166	93%
Highmark Community Blue	$83 - $175	93%
Workers Comp	$84	94%
Life Butler County	$85	96%
Martin'S Point - Usfhp	$85 - $310	96%
Medicare (plans)	$85	96%
Peak Health	$85 - $621	96%
Provider Partners	$85	96%
Tricare	$85	96%
UnitedHealthcare	$85 - $217	96%
Humana	$88	99%
Amerihealth	$89	100%
Geisinger	$89 - $887	100%
Devoted Health Plan	$90 - $355	101%
The Health Plan	$90 - $199	101%
Pa Health & Wellness	$91	102%
American Health Plan	$93	105%
Gateway	$95 - $931	107%
Ellwood Group	$133 - $381	150%
Cigna	$194 - $444	218%
Private Healthcare Systems	$311 - $754	350%
Devon	$333 - $665	375%
Intergroup	$355 - $710	399%
Multiplan	$400 - $798	450%

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 $466.
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 Independence Health System Butler Memorial Hospita 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.