CMS Price Transparency Data

X-ray, foot

Facility: Intermountain Health Fillmore Community Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $428
  • Cash Discount Price: $360
  • vs. Medicare Baseline: 4.81x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Intermountain Health Fillmore Community Hospital is $428. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $360. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.81x the Medicare baseline. Located in 674 South Highway 99, Fillmore, UT.
Cash / Self-Pay
$360

Average discount available for prompt cash payment at this facility.

Insurance Median
$428

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: $360 (405%)
Insurance Median: $428 (481%)
Cash: $360 (405% of Medicare)
Ins. Median: $428 (481% 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 481% of the Medicare baseline (a markup of 381%). 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
Aetna $8 - $461 9%
American Health $8 - $221 9%
Blue Cross Blue Shield $8 - $457 9%
Health Partners Of Nevada $8 - $221 9%
Health Plan Of Nevada $8 - $428 9%
Humana $8 - $221 9%
Molina $8 - $457 9%
Selecthealth $8 - $457 9%
UnitedHealthcare $8 - $457 9%
Triwest $212 238%
Healthy U $221 - $428 249%
Awh Connected $233 - $461 262%
Byu Athletics $233 - $457 262%
Campbell Scientific $233 - $457 262%
Cigna $233 - $457 262%
Deseret Mutual $233 - $457 262%
Emi $233 - $457 262%
Emi Health $233 - $457 262%
Franklin County $233 - $457 262%
Health Utah $233 - $457 262%
Ifit $233 - $457 262%
Juniper Systems $233 - $457 262%
Lw Miller $233 - $457 262%
Managed Care Admin $233 - $457 262%
Motivhealth $233 - $457 262%
Pehp $233 - $457 262%
Prodegi Corp Benefit $233 - $457 262%
Tanner Llc $233 - $457 262%
Utah Tech $233 - $457 262%
Wise Network $233 - $457 262%
Injury Care Of Nevada $360 405%
Byu Risk Management $408 459%
Corporation Of The President $408 459%
Corvel Corporation $408 459%
Wcf Insurance $408 459%
Global Excel $457 514%
Hygeia Corporation $457 514%
Medcare International $457 514%
Springtide $457 514%
Uofu $457 514%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 674 South Highway 99, Fillmore, UT 84631
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals