CMS Price Transparency Data

X-ray, foot

Facility: Prisma Health Laurens County Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $93
  • Cash Discount Price: $365
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Prisma Health Laurens County Hospital is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $365. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.05x the Medicare baseline. Located in 22725 Highway 76 East, Clinton, SC.
Cash / Self-Pay
$365

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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: $365 (411%)
Insurance Median: $93 (105%)
Cash: $365 (411% of Medicare)
Ins. Median: $93 (105% 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.

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
Medicare (plans) $24 - $97 27%
Blue Cross Blue Shield $62 - $282 70%
First Choice Benefits Mgmt [3074] $62 70%
Medicaid / KanCare $62 - $86 70%
Sc Dept Of Corrections [2998] $62 70%
Scdc-Sc Dept Of Corrections [7232] $62 70%
Humana $66 - $92 74%
Tricare $82 92%
UnitedHealthcare $86 - $195 97%
Champva [3049] $88 99%
Cigna $88 - $443 99%
Covid19 Hrsa Uninsured Testing & Treatment Fund [904] $88 99%
Deseret Mutual Ins Co [3066] $88 99%
Generic Skilled Nursing [3196] $88 99%
Hospice Contracted [1500] $88 99%
Hospice Non Contracted [3190] $88 99%
Triwest Healthcare Alliance Vcp [902] $88 99%
Va Community Care Network-Vaccn [903] $88 99%
Veterans Administration [3194] $88 99%
Aetna $93 - $443 105%
Healthy Conn Prime-Wellcare Prime By Atc [5310] $93 105%
Healthy Conn Prime-First Choice Vip Care [5300] $94 106%
Healthy Conn Prime-Molina Healthcare [5330] $97 109%
Workers Comp [600] $124 139%
Bluechoice [810] $128 - $297 144%
Prisma Health Seniorcare Pace - Midlands [5400] $130 146%
Prisma Health Seniorcare Pace-Upstate [5200] $130 146%
Bob Jones Univ-Pai [821] $147 165%
Ambetter / Centene $163 183%
Golden Rule Insurance Company [2991] $195 219%
Oxford Health Plans [2992] $195 219%
Zzumr-Salt Lake City Ut [3169] $195 219%
Promise Health Plan Contracted [2401] $196 - $337 220%
Orangeburg Senior Helping Center Pace [5401] $224 252%
Planned Administrators [820] $282 317%
Meritain Health Contracted [2200] $359 - $443 404%
Preferred Administrators Contracted [2839] $393 442%
Medcost [2940] $415 - $466 467%
Atlantic Packaging Contracted [4833] $421 474%
Evernorth Behavioral Contracted [2982] $443 498%
Mvp Health Care [3037] $443 498%
Aps Healthcare System [2981] $449 505%
Multiplan/Phcs Contracted [2950] $499 561%
Vsp Vision Care [2986] $505 568%
First Health Contracted [2952] $522 587%
Furman Int/Allen University Student [2951] $522 587%
Quiktrip-First Health [3067] $522 587%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 22725 Highway 76 East, Clinton, SC 29325
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals