CMS Price Transparency Data

X-ray, foot

Facility: Baylor Scott & White Medical Center Plano

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $310
Cash Discount Price: $338
vs. Medicare Baseline: 3.49x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Baylor Scott & White Medical Center Plano is $310. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $338. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.49x the Medicare baseline. Located in 4700 Alliance Boulevard, Plano, TX.

Cash / Self-Pay

$338

Average discount available for prompt cash payment at this facility.

Insurance Median

$310

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: $338 (380%)

Insurance Median: $310 (349%)

Cash: $338 (380% of Medicare)

Ins. Median: $310 (349% 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 349% of the Medicare baseline (a markup of 249%). 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
Superior Health Plan	$34 - $87	38%
Baylor Scott & White Health Plan	$79 - $327	89%
Aetna	$83 - $310	93%
Humana	$83 - $395	93%
Triwest	$83	93%
American Health Plan	$87	98%
Blue Cross Blue Shield	$87 - $319	98%
Corvel	$87	98%
Healthspring	$87	98%
Prime Health Services	$87	98%
Procare Advantage	$87	98%
UnitedHealthcare	$96 - $395	108%
Ambetter / Centene	$172	193%
Cigna	$278 - $327	313%
Employers Health Network	$310	349%
Quiktrip	$310	349%
Imagine Health	$323	363%
University Of Mary Hardin-Baylor	$327	368%
Independent Medical System	$338	380%
Curative	$366	412%
First Health	$395	444%
Healthsmart	$395 - $423	444%
Private Health Care System	$423	476%

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 $338.
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 Baylor Scott & White Medical Center Plano 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.