CMS Price Transparency Data

X-ray, foot

Facility: Trident Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $459
Cash Discount Price: $1,607
vs. Medicare Baseline: 5.16x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Trident Medical Center is $459. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,607. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.16x the Medicare baseline. Located in 9330 Medical Plaza Dr, Charleston, SC.

Cash / Self-Pay

$1,607

Average discount available for prompt cash payment at this facility.

Insurance Median

$459

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: $1,607 (1807%)

Insurance Median: $459 (516%)

Cash: $1,607 (1807% of Medicare)

Ins. Median: $459 (516% 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 516% of the Medicare baseline (a markup of 416%). 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
Aetna	$16 - $97	18%
Blue Choice	$35	39%
United	$35 - $960	39%
Select Health	$45	51%
Sc State Employees	$62	70%
Blue Choice Health Plan	$113	127%
Blue Cross Blue Shield	$113 - $2,027	127%
Absolute Total Care	$154 - $384	173%
Nhc Advantage	$205 - $405	231%
Pruitt Health	$205 - $405	231%
Medcost	$413 - $1,199	465%
Employers Health Network	$486 - $960	547%
Occunet	$540 - $1,067	607%
Vocational Rehab	$583 - $1,152	656%
Humana	$702 - $1,600	790%
First Health	$788 - $1,558	886%
Mhnet	$810 - $1,600	911%
Evernorth	$864 - $1,707	972%
Multiplan	$918 - $1,814	1033%
Prime Health	$918 - $1,814	1033%
Novanet	$972 - $1,921	1093%

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 $1,607.
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 Trident 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.