CMS Price Transparency Data

X-ray, foot

Facility: Baylor Scott & White Medical Center - Marble Falls

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $305
Cash Discount Price: $356
vs. Medicare Baseline: 3.43x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Baylor Scott & White Medical Center - Marble Falls is $305. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $356. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.43x the Medicare baseline. Located in 810 W Highway 71, Marble Falls, TX.

Cash / Self-Pay

$356

Average discount available for prompt cash payment at this facility.

Insurance Median

$305

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: $356 (400%)

Insurance Median: $305 (343%)

Cash: $356 (400% of Medicare)

Ins. Median: $305 (343% 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 343% of the Medicare baseline (a markup of 243%). 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 - $80	38%
Baylor Scott & White Health Plan	$76 - $254	85%
Humana	$80 - $415	90%
Triwest	$80	90%
American Health Plan	$84	94%
Blue Cross Blue Shield	$84 - $306	94%
Corvel	$84	94%
Healthspring	$84	94%
Prime Health Services	$84	94%
Procare Advantage	$84	94%
UnitedHealthcare	$92 - $328	103%
Sedgwick	$120	135%
Cigna	$305 - $357	343%
Aetna	$326	367%
Midcoast	$326	367%
Quiktrip	$326	367%
University Of Mary Hardin-Baylor	$344	387%
Independent Medical System	$356	400%
Curative	$385	433%
First Health	$415	467%
Healthsmart	$415 - $444	467%
Bluebell Creameries	$444	499%
Private Health Care System	$444	499%
Three Rivers	$533	599%

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 $356.
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 - Marble Falls 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.