CMS Price Transparency Data

X-ray, foot

Facility: Medical Center Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $156
Cash Discount Price: $295
vs. Medicare Baseline: 1.75x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Medical Center Hospital is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $295. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.75x the Medicare baseline. Located in 500 W 4Th Street, Odessa, TX.

Cash / Self-Pay

$295

Average discount available for prompt cash payment at this facility.

Insurance Median

$156

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: $295 (332%)

Insurance Median: $156 (175%)

Cash: $295 (332% of Medicare)

Ins. Median: $156 (175% 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
Corvel Wc	$28 - $33	31%
Ambetter / Centene	$29 - $90	33%
Amerigroup	$29	33%
Blue Cross Blue Shield	$29 - $198	33%
Community Health Choice	$29	33%
First Care Health Plan	$29	33%
Superior Health Plan	$29	33%
UnitedHealthcare	$29 - $461	33%
Medicaid / KanCare	$34 - $36	38%
Superior Chips	$34	38%
Caprock	$60 - $221	67%
Healthsmart Preferred Care	$66 - $277	74%
Aetna	$83 - $304	93%
Humana	$83	93%
Novitas Solutions	$86	97%
Triwest Va Ccn	$86	97%
Care Improvement Plus	$87	98%
Wellcare By Allwell	$90	101%
Group Resources	$105	118%
Health Select	$155 - $198	174%
Cigna	$156 - $233	175%
Workers Comp	$175	197%
90 Degree Benefits	$221 - $269	249%
State Comptroller	$230	259%
Texas Mutual Wc	$304	342%
Geha	$314	353%
Firstcare	$323	363%

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 $295.
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 Medical Center 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.