CMS Price Transparency Data

X-ray, foot

Facility: St Luke's Sugar Land Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $140
Cash Discount Price: $514
vs. Medicare Baseline: 1.57x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at St Luke's Sugar Land Hospital is $140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $514. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.57x the Medicare baseline. Located in 1317 Lake Pointe Parkway, Sugar Land, TX.

Cash / Self-Pay

$514

Average discount available for prompt cash payment at this facility.

Insurance Median

$140

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: $514 (578%)

Insurance Median: $140 (157%)

Cash: $514 (578% of Medicare)

Ins. Median: $140 (157% 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.

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
Wellpoint	$34 - $132	38%
United	$35 - $690	39%
UnitedHealthcare	$35 - $1,213	39%
Blue Cross Blue Shield	$36 - $269	40%
Chc	$40 - $807	45%
Kelsey	$61	69%
Renaissance	$64	72%
Cigna	$83 - $1,028	93%
Humana	$88 - $954	99%
Selectcare	$88	99%
Aetna	$90 - $998	101%
Amerivantage	$91	102%
Devoted	$94	106%
Scanhealth	$94	106%
Kindred	$97	109%
Tchp	$117 - $157	132%
Kelseycare	$119	134%
Community Health Choice	$132	148%
Superior Health Plan	$132	148%
Bright Health	$135	152%
Nx Health	$287	323%
Tchpchip	$514 - $631	578%
Texastruechoice	$807	908%
Coventry	$954	1073%
First Health	$954	1073%
Healthsmart	$1,028	1156%
Interlink	$1,028	1156%
Multiplan	$1,101	1238%
USA Health Network	$1,248	1404%
Mhealth Network	$1,468	1651%

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 $514.
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 St Luke's Sugar Land 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.