CMS Price Transparency Data

X-ray, foot

Facility: Carilion Tazewell Community Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $357
Cash Discount Price: $227
vs. Medicare Baseline: 4.02x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Carilion Tazewell Community Hospital is $357. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $227. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.02x the Medicare baseline. Located in 388 Ben Bolt Avenue, Tazewell, VA.

Cash / Self-Pay

$227

Average discount available for prompt cash payment at this facility.

Insurance Median

$357

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: $227 (255%)

Insurance Median: $357 (402%)

Cash: $227 (255% of Medicare)

Ins. Median: $357 (402% 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 402% of the Medicare baseline (a markup of 302%). 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
Corvel	$28	31%
Blue Cross Blue Shield	$31 - $459	35%
Sentara Health Plan	$31 - $402	35%
Abh Of Va (Formerly Coventry)	$32	36%
Abh Of Wva (Formerly Coventry)	$32	36%
Humana	$32 - $83	36%
UnitedHealthcare	$32 - $530	36%
Aetna	$76 - $431	85%
Allcare	$81	91%
Gateway - Tier 3	$357	402%
Vhn - Ultra	$402	452%
Cigna	$412 - $439	463%
Connecticare	$454	511%
Vhn - Plus	$500	562%
Gateway - Tier 2	$519	584%
Vhn	$519	584%
Integrated Health Plan	$552	621%
Vhn - Link	$584	657%
Gateway - Tier 1	$617	694%
Vhn - Secondary Payors	$617	694%
National Provider Network	$623	701%

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 $227.
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 Carilion Tazewell Community Hospital 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.