CMS Price Transparency Data

X-ray, foot

Facility: Colleton Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $635
Cash Discount Price: $1,118
vs. Medicare Baseline: 7.14x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Colleton Medical Center is $635. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,118. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.14x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.

Cash / Self-Pay

$1,118

Average discount available for prompt cash payment at this facility.

Insurance Median

$635

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: $1,118 (1257%)

Insurance Median: $635 (714%)

Cash: $1,118 (1257% of Medicare)

Ins. Median: $635 (714% 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 714% of the Medicare baseline (a markup of 614%). 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
Blue Choice	$35	39%
United	$35 - $792	39%
Select Health	$45	51%
Sc State Employees	$62 - $69	70%
Absolute Total Care	$129 - $268	145%
Blue Choice Health Plan	$146 - $153	164%
Blue Cross Blue Shield	$146 - $1,416	164%
Nhc Advantage	$168 - $283	189%
Pruitt Health	$168 - $283	189%
Employers Health Network	$398 - $671	448%
Value Option	$442 - $746	497%
Vocational Rehab	$478 - $805	538%
Medcost	$499 - $1,088	561%
Aetna	$512 - $863	576%
Cigna	$572 - $963	643%
Humana	$575 - $1,342	647%
Mhnet	$664 - $1,118	747%
Evernorth	$708 - $1,193	796%
Multiplan	$752 - $1,267	846%
North American Administrators	$752 - $1,267	846%
Prime Health	$752 - $1,267	846%
First Health	$796 - $1,342	895%
Novanet	$796 - $1,342	895%

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 $1,118.
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 Colleton Medical Center 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.