CMS Price Transparency Data

X-ray, foot

Facility: Newberry County Memorial Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $324
Cash Discount Price: $270
vs. Medicare Baseline: 3.64x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Newberry County Memorial Hospital is $324. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $270. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.64x the Medicare baseline. Located in 2669 Kinard St Po Box 497, Newberry, SC.

Cash / Self-Pay

$270

Average discount available for prompt cash payment at this facility.

Insurance Median

$324

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: $270 (304%)

Insurance Median: $324 (364%)

Cash: $270 (304% of Medicare)

Ins. Median: $324 (364% 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 364% of the Medicare baseline (a markup of 264%). 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
Humana	$28 - $564	31%
Medicaid / KanCare	$28 - $564	31%
Cigna	$29 - $697	33%
Aetna	$86 - $592	97%
Blue Cross Blue Shield	$86 - $591	97%
Devoted Health	$89	100%
Medicare (plans)	$89 - $91	100%
Ambetter / Centene	$91	102%
Molina Marketplace	$91	102%
Self Pay	$162 - $324	182%
UnitedHealthcare	$331 - $659	372%
United Payers And United Providers (Up & Up)	$408 - $814	459%

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 $270.
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 Newberry County Memorial Hospital 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.