CMS Price Transparency Data

X-ray, foot

Facility: Intermountain Health Heber Valley Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $418
  • Cash Discount Price: $360
  • vs. Medicare Baseline: 4.70x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Intermountain Health Heber Valley Hospital is $418. 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 4.70x the Medicare baseline. Located in 454 East Medical Way, Heber City, UT.
Cash / Self-Pay
$360

Average discount available for prompt cash payment at this facility.

Insurance Median
$418

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: $418 (470%)
Cash: $360 (405% of Medicare)
Ins. Median: $418 (470% 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 470% of the Medicare baseline (a markup of 370%). 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
Triwest $8 - $363 9%
Aetna $144 - $424 162%
American Health $144 162%
Blue Cross Blue Shield $144 - $425 162%
Health Partners Of Nevada $144 162%
Health Plan Of Nevada $144 - $428 162%
Healthy U $144 - $428 162%
Humana $144 162%
Molina $144 - $428 162%
Selecthealth $144 - $428 162%
UnitedHealthcare $144 - $425 162%
Awh Connected $233 - $430 262%
Byu Athletics $233 - $418 262%
Campbell Scientific $233 - $418 262%
Cigna $233 - $425 262%
Deseret Mutual $233 - $425 262%
Emi $233 - $425 262%
Emi Health $233 - $418 262%
Franklin County $233 - $418 262%
Ifit $233 - $418 262%
Juniper Systems $233 - $418 262%
Lw Miller $233 - $418 262%
Managed Care Admin $233 - $418 262%
Motivhealth $233 - $418 262%
Pehp $233 - $432 262%
Prodegi Corp Benefit $233 - $418 262%
Tanner Llc $233 - $418 262%
Utah Tech $233 - $418 262%
Wise Network $233 - $418 262%
Corporation Of The President $360 405%
Corvel Corporation $360 405%
Injury Care Of Nevada $360 405%
Wcf Insurance $360 405%
Byu Risk Management $408 459%
Medcare International $408 459%
Springtide $408 459%
Uofu $408 459%
Intermountain Caregiver Plan $425 478%
Global Excel $432 486%
Health Utah $432 486%
Hygeia Corporation $432 486%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 454 East Medical Way, Heber City, UT 84032
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals