CMS Price Transparency Data

X-ray, foot

Facility: Matagorda Regional Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $278
Cash Discount Price: $249
vs. Medicare Baseline: 3.13x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Matagorda Regional Medical Center is $278. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $249. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.13x the Medicare baseline. Located in 104 7Th Street, Bay City, TX.

Cash / Self-Pay

$249

Average discount available for prompt cash payment at this facility.

Insurance Median

$278

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: $249 (280%)

Insurance Median: $278 (313%)

Cash: $249 (280% of Medicare)

Ins. Median: $278 (313% 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 313% of the Medicare baseline (a markup of 213%). 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	$87 - $419	98%
Humana	$87 - $434	98%
Medicare (plans)	$87	98%
Triwest	$87	98%
United	$87	98%
Wellcare	$87	98%
UnitedHealthcare	$96 - $462	108%
Am Better	$105	118%
Alliance	$122	137%
Blue Cross Blue Shield	$133 - $266	150%
Corvel	$175	197%
Comm Care	$191 - $374	215%
Medicaid / KanCare	$191 - $374	215%
Molina	$191 - $374	215%
Scott & White	$191 - $374	215%
Superior	$191 - $374	215%
Tcstar	$191 - $374	215%
Wellpoint	$191 - $374	215%
Coventry First Health	$239 - $468	269%
Galaxy Health	$239 - $468	269%
Cigna	$256 - $501	288%
Independent Medical System	$290 - $568	326%
Multiplan Phcs	$290 - $568	326%
Three Rivers	$290 - $568	326%
Health Smart	$307 - $601	345%
Usa Managed	$307 - $601	345%

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 $249.
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 Matagorda Regional 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.