CMS Price Transparency Data

X-ray, foot

Facility: Hill Country Memorial Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $169
Cash Discount Price: $1,911
vs. Medicare Baseline: 1.90x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Hill Country Memorial Hospital is $169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,911. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.90x the Medicare baseline. Located in 1020 South State Highway 16, Fredericksburg, TX.

Cash / Self-Pay

$1,911

Average discount available for prompt cash payment at this facility.

Insurance Median

$169

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: $1,911 (2149%)

Insurance Median: $169 (190%)

Cash: $1,911 (2149% of Medicare)

Ins. Median: $169 (190% 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
Community First Health Plans	$34 - $688	38%
United	$34 - $1,146	38%
Aetna	$37 - $1,273	42%
Molina Healthcare	$38	43%
Superior Health	$64 - $127	72%
Blue Cross Blue Shield	$140 - $751	157%
Cigna	$258 - $341	290%
Healthcare Highways	$393 - $784	442%
Curative Administrators	$510 - $1,019	574%
Healthsmart Preferred Care	$702 - $1,401	790%
Multiplan	$957 - $2,165	1076%
Triwest Health Alliance	$957 - $1,910	1076%

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 $1,911.
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 Hill Country Memorial 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.