CMS Price Transparency Data

X-ray, foot

Facility: Dickenson Community Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $103
Cash Discount Price: $73
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Dickenson Community Hospital is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.16x the Medicare baseline. Located in 312 Hospital Drive, Clintwood, VA.

Cash / Self-Pay

$73

Average discount available for prompt cash payment at this facility.

Insurance Median

$103

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: $73 (82%)

Insurance Median: $103 (116%)

Cash: $73 (82% of Medicare)

Ins. Median: $103 (116% 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.

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
Blue Cross Blue Shield	$30 - $327	34%
UnitedHealthcare	$40 - $327	45%
Cigna	$49 - $103	55%
Aetna	$93 - $262	105%
Amerigroup	$93 - $98	105%
Managed Medicaire	$93 - $98	105%
Medicare (plans)	$93 - $98	105%
Sentara Health	$93 - $121	105%
United Mine Workers Of America	$93 - $98	105%
Humana	$95 - $100	107%
Molina Healthcare	$97 - $158	109%
Devoted Health Plan	$98 - $103	110%
Nhc Advantage	$98 - $103	110%
Optima Health	$101 - $152	114%
Medcost	$109 - $114	123%
Ambetter / Centene	$115 - $121	129%
Seven Corners, Inc.	$311 - $327	350%

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 $73.
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 Dickenson 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.