CMS Price Transparency Data

X-ray, foot

Facility: HCA Houston Healthcare West

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $261
  • Cash Discount Price: $2,542
  • vs. Medicare Baseline: 2.94x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at HCA Houston Healthcare West is $261. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,542. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.94x the Medicare baseline. Located in 12141 Richmond Ave, Houston, TX.
Cash / Self-Pay
$2,542

Average discount available for prompt cash payment at this facility.

Insurance Median
$261

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: $2,542 (2859%)
Insurance Median: $261 (294%)
Cash: $2,542 (2859% of Medicare)
Ins. Median: $261 (294% 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 294% of the Medicare baseline (a markup of 194%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Amerigroup $34 38%
Community Health Choice Mcd $34 38%
Texas Childrens Health Plans $34 - $422 38%
Texas Health Network $34 38%
United $35 - $1,144 39%
Aetna $37 - $282 42%
Molina Healthcare $38 43%
Humana $43 - $366 48%
Cigna $96 - $2,034 108%
Blue Cross Blue Shield $140 - $890 157%
Superior Health Plan $153 172%
Texas Workforce Commission $610 686%
Healthcare Highways $648 729%
Evry Health $694 781%
Imagine Health $890 1001%
Christus (Usfhp) $1,017 1144%
Curative Administrators $1,017 1144%
Healthsmart Preferred Care $1,093 - $2,161 1229%
Averde Health $1,144 1287%
Fidelis Securecare Of Tx $1,144 1287%
Coventry National First Health $1,355 1524%
Physicians Cooperative Of Texas $1,398 1572%
Rockport Workers Comp $1,398 1572%
Independent Medical System $1,525 1715%
National Healthcare Solutions $1,525 1715%
Southwest Medical $1,525 1715%
Triumph $1,525 1715%
Coastal Comp $1,652 1858%
Multiplan $1,906 - $2,161 2144%
Physicians, Inc $2,161 2431%
Affiliated Ppo $2,288 2573%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals