CMS Price Transparency Data

X-ray, foot

Facility: Tristar Hendersonville Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $113
Cash Discount Price: $798
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Tristar Hendersonville Medical Center is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $798. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.27x the Medicare baseline. Located in 355 New Shackle Island Rd, Hendersonville, TN.

Cash / Self-Pay

$798

Average discount available for prompt cash payment at this facility.

Insurance Median

$113

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: $798 (898%)

Insurance Median: $113 (127%)

Cash: $798 (898% of Medicare)

Ins. Median: $113 (127% 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 - $200	36%
Aetna	$46 - $399	52%
Cigna	$83 - $268	93%
United	$84 - $359	94%
Kentucky Labor Cabinet	$147	165%
Apex Health	$152	171%
Nhc Advantage, Inc.	$152	171%
Pruitt Health (Allyalign)	$152	171%
Bgfh Singlesource	$399 - $679	449%
Employers Health Network	$559	629%
Odom'S Tn Pride Sausage	$599	674%
Multiplan	$655	737%
Beech Street	$734	826%

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 $798.
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 Hendersonville 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.