CMS Price Transparency Data

X-ray, foot

Facility: Warm Springs Rehabilitation Hospital of San Antonio

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $415
Cash Discount Price: $529
vs. Medicare Baseline: 4.67x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Warm Springs Rehabilitation Hospital of San Antonio is $415. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $529. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.67x the Medicare baseline. Located in 5101 Medical Dr, San Antonio, TX.

Cash / Self-Pay

$529

Average discount available for prompt cash payment at this facility.

Insurance Median

$415

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: $529 (595%)

Insurance Median: $415 (467%)

Cash: $529 (595% of Medicare)

Ins. Median: $415 (467% 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 467% of the Medicare baseline (a markup of 367%). 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
Molina Healthcare	$80	90%
America'S Choice Provider Network	$323 - $417	363%
Galaxy Health	$346 - $447	389%
Provider Network Of America	$346 - $447	389%
Quik Trip	$346 - $447	389%
Usa Managed Care Organization	$346 - $447	389%
Velocity Provider Ppo Network	$346 - $447	389%
Multiplan/Phcs	$369 - $477	415%
Three Rivers	$369 - $477	415%
Prime Health Services	$392 - $507	441%
Medincrease	$415 - $536	467%

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 $529.
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 Warm Springs Rehabilitation Hospital of San Antonio 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.