CMS Price Transparency Data

X-ray, foot

Facility: Rio Grande Regional Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $511
Cash Discount Price: $1,273
vs. Medicare Baseline: 5.75x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Rio Grande Regional Hospital is $511. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,273. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.75x the Medicare baseline. Located in 101 E Ridge Rd, McAllen, TX.

Cash / Self-Pay

$1,273

Average discount available for prompt cash payment at this facility.

Insurance Median

$511

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: $1,273 (1432%)

Insurance Median: $511 (575%)

Cash: $1,273 (1432% of Medicare)

Ins. Median: $511 (575% 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 575% of the Medicare baseline (a markup of 475%). 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
Texas Health Network	$34	38%
Driscoll Children'S Health Plan	$35	39%
United	$35 - $902	39%
Aetna	$37	42%
Molina Healthcare	$38	43%
Superior Health Plan	$80 - $140	90%
Humana	$88	99%
Blue Cross Blue Shield	$180 - $902	202%
Texas Workforce Commission	$273 - $481	307%
Healthcare Highways	$290 - $511	326%
Averde Health	$375 - $662	422%
Cigna	$446 - $596	502%
Allegian Health	$454 - $802	511%
Curative Administrators	$454 - $802	511%
Healthsmart Preferred Care	$489 - $1,704	550%
First Health	$653 - $1,153	734%
National Healthcare Solutions	$682 - $1,203	767%
Southwest Medical	$682 - $1,203	767%
Coastal Comp	$738 - $1,303	830%
Usa Managed Care	$738 - $1,604	830%
Ppo Next/ Medical Control	$852 - $1,503	958%
Beech Street	$909 - $1,604	1022%
Multiplan	$909 - $1,604	1022%

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 $1,273.
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 Rio Grande Regional 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.