CMS Price Transparency Data

X-ray, foot

Facility: Intermountain Health Garfield Memorial Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $457
  • Cash Discount Price: $360
  • vs. Medicare Baseline: 5.14x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Intermountain Health Garfield Memorial Hospital is $457. 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 5.14x the Medicare baseline. Located in 200 North 400 East, Panguitch, UT.
Cash / Self-Pay
$360

Average discount available for prompt cash payment at this facility.

Insurance Median
$457

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: $457 (514%)
Cash: $360 (405% of Medicare)
Ins. Median: $457 (514% 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 514% of the Medicare baseline (a markup of 414%). 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%
Health Choice Utah $8 - $428 9%
Healthy U $8 - $428 9%
Medicare (plans) $8 - $183 9%
Molina $8 - $457 9%
Molina Healthcare Of Utah $8 - $457 9%
Selecthealth $8 - $457 9%
Triwest $8 - $248 9%
Uofu $8 - $457 9%
Tricare $208 - $248 234%
Byu Athletic Department $233 - $457 262%
Campbell Scientific $233 - $457 262%
Cigna $233 - $457 262%
Deseret Mutual $233 - $457 262%
Emi Health $233 - $457 262%
Franklin County $233 - $457 262%
Health Utah $233 - $457 262%
Juniper Systems $233 - $457 262%
Lw Miller $233 - $457 262%
Managed Care Administrators, Inc. $233 - $457 262%
Motivhealth $233 - $457 262%
Pehp $233 - $457 262%
Prodegi Corporate Benefit Services, Llc $233 - $457 262%
Tanner Llc $233 - $457 262%
Utah State University $233 - $457 262%
Utah Tech University $233 - $457 262%
Wise $233 - $457 262%
UnitedHealthcare $394 - $404 443%
Blue Cross Blue Shield $457 514%
Hygeia Corporation $457 514%
Medcare International $457 514%
Springtide $457 514%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 North 400 East, Panguitch, UT 84759
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals