CMS Price Transparency Data

X-ray, foot

Facility: PAM Rehabilitation Hospital of Victoria

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $447
  • Cash Discount Price: $596
  • vs. Medicare Baseline: 5.03x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at PAM Rehabilitation Hospital of Victoria is $447. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $596. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.03x the Medicare baseline. Located in 101 James Coleman Dr, Victoria, TX.
Cash / Self-Pay
$596

Average discount available for prompt cash payment at this facility.

Insurance Median
$447

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: $596 (670%)
Insurance Median: $447 (503%)
Cash: $596 (670% of Medicare)
Ins. Median: $447 (503% 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 503% of the Medicare baseline (a markup of 403%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
America'S Choice Provider Network $417 469%
Provider Network Of America $447 503%
Quik Trip $447 503%
Usa Managed Care Organization $447 503%
Velocity Provider Ppo Network $447 503%
Multiplan/Phcs $477 536%
Prime Health Services $507 570%
Medincrease $536 603%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 James Coleman Dr, Victoria, TX 77904
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL