CMS Price Transparency Data

X-ray, foot

Facility: Texas Orthopedic Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $443
Cash Discount Price: $2,272
vs. Medicare Baseline: 4.98x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Texas Orthopedic Hospital is $443. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,272. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.98x the Medicare baseline. Located in 7401 South Main Street, Houston, TX.

Cash / Self-Pay

$2,272

Average discount available for prompt cash payment at this facility.

Insurance Median

$443

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: $2,272 (2555%)

Insurance Median: $443 (498%)

Cash: $2,272 (2555% of Medicare)

Ins. Median: $443 (498% 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 498% of the Medicare baseline (a markup of 398%). 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
Amerigroup	$34	38%
Community Health Choice Mcd	$34	38%
Texas Childrens Health Plans	$34 - $518	38%
Texas Health Network	$34	38%
United	$35 - $1,405	39%
Aetna	$37 - $168	42%
Molina Healthcare	$38	43%
Humana	$43 - $366	48%
Superior Health Plan	$85 - $187	96%
Cigna	$96 - $123	108%
Blue Cross Blue Shield	$140 - $1,093	157%
Texas Workforce Commission	$341 - $749	384%
Healthcare Highways	$362 - $796	407%
Evry Health	$388 - $853	436%
Imagine Health	$497 - $1,093	559%
Christus (Usfhp)	$568 - $1,249	639%
Curative Administrators	$568 - $1,249	639%
Healthsmart Preferred Care	$611 - $2,654	687%
Averde Health	$639 - $1,405	719%
Fidelis Securecare Of Tx	$639 - $1,405	719%
Coventry National First Health	$757 - $1,664	851%
Physicians Cooperative Of Texas	$781 - $1,718	878%
Rockport Workers Comp	$781 - $1,718	878%
Independent Medical System	$852 - $1,874	958%
National Healthcare Solutions	$852 - $1,874	958%
Southwest Medical	$852 - $1,874	958%
Coastal Comp	$923 - $2,030	1038%
Multiplan	$1,065 - $2,654	1198%
International Health Insurance	$1,136 - $2,498	1278%
Physicians, Inc	$1,208 - $2,654	1359%
Affiliated Ppo	$1,279 - $2,810	1439%

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 $2,272.
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 Texas Orthopedic 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.