CMS Price Transparency Data

X-ray, foot

Facility: Medical City Plano

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $304
  • Cash Discount Price: $1,014
  • vs. Medicare Baseline: 3.42x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Medical City Plano is $304. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,014. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.42x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.
Cash / Self-Pay
$1,014

Average discount available for prompt cash payment at this facility.

Insurance Median
$304

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: $1,014 (1140%)
Insurance Median: $304 (342%)
Cash: $1,014 (1140% of Medicare)
Ins. Median: $304 (342% 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 342% of the Medicare baseline (a markup of 242%). 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%
United $34 - $212 38%
Cigna $36 - $170 40%
Aetna $37 - $736 42%
Molina $38 - $39 43%
Parkland Community Health Plan $38 43%
Humana $43 - $84 48%
Superior Health Plan $57 - $85 64%
Blue Cross Blue Shield $95 - $540 107%
Healthcare Highways $199 - $411 224%
Evry Health $210 - $314 236%
Lifecare Hospitals $244 - $365 274%
Curative Administrators $325 - $486 366%
Prominence Health Plan $325 - $486 366%
City Of Mckinney $366 - $547 412%
Fidelis Securecare $366 - $547 412%
National Choicecare $407 - $608 458%
Pc Texas Partners $447 - $669 503%
Physicians Coop Of Tx $447 - $669 503%
Rockport Health Group $447 - $669 503%
Averde Health, Inc $472 - $705 531%
Texas Healthcare Foundation Wc $528 - $790 594%
Coastal Comp Health Networks $569 - $851 640%
Mega Life $569 - $851 640%
Multiplan Phcs $569 - $851 640%
Healthsmart Preferred Care $610 - $912 686%
Lewisville Isd/Dls Consulting $610 - $912 686%
Usa Managed Care $650 - $973 731%
Usc Health Services $650 - $973 731%
Galaxy Health Network $691 - $1,034 777%
Independent Medical Systems $813 - $1,216 914%
National Healthcare Solutions $813 - $1,216 914%
Unicare $813 - $1,216 914%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 W 15Th St, Plano, TX 75075
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals