CMS Price Transparency Data

X-ray, foot

Facility: Tristar Skyline Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $129
Cash Discount Price: $1,291
vs. Medicare Baseline: 1.45x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Tristar Skyline Medical Center is $129. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,291. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.45x the Medicare baseline. Located in 3441 Dickerson Pike, Nashville, TN.

Cash / Self-Pay

$1,291

Average discount available for prompt cash payment at this facility.

Insurance Median

$129

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: $1,291 (1452%)

Insurance Median: $129 (145%)

Cash: $1,291 (1452% of Medicare)

Ins. Median: $129 (145% 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.

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 Cross Blue Shield	$21 - $41	24%
Humana	$32 - $839	36%
Aetna	$46 - $645	52%
Cigna	$83 - $421	93%
United	$84 - $581	94%
Kentucky Labor Cabinet	$238	268%
Nhc Advantage, Inc.	$245	276%
Pruitt Health (Allyalign)	$245	276%
Centurion	$532	598%
Bgfh Singlesource	$645 - $1,097	725%
Employers Health Network	$904	1017%
Mhnet	$968	1089%
Odom'S Tn Pride Sausage	$968	1089%
Multiplan	$1,059	1191%
Beech Street	$1,136	1278%
Prime Health	$1,136	1278%
Triwest Healthcare	$1,265	1423%

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 $1,291.
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 Tristar Skyline 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.