CMS Price Transparency Data

X-ray, foot

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $73
Cash Discount Price: $733
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Univ. of Vermont - Fletcher Allen Health Care is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $733. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.82x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.

Cash / Self-Pay

$733

Average discount available for prompt cash payment at this facility.

Insurance Median

$73

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: $733 (824%)

Insurance Median: $73 (82%)

Cash: $733 (824% of Medicare)

Ins. Median: $73 (82% 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	$5 - $710	6%
UnitedHealthcare	$5 - $722	6%
Mvp	$6 - $521	7%
Aetna	$8 - $89	9%
Capital District Physicians' Health Plan	$8 - $549	9%
Humana	$8 - $205	9%
Martins Point	$8 - $91	9%
St. Regis	$8 - $89	9%
Veterans Affairs Community Care Network	$8 - $89	9%
Fidelis Care	$9 - $98	10%
Wellpath	$11 - $403	12%
Ebpa	$28 - $630	31%
Harvard Pilgrim	$29 - $586	33%
Magnacare	$29 - $586	33%
Coventry	$31 - $623	35%
Nppn	$32 - $660	36%
Cigna	$34 - $660	38%

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 $733.
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 Univ. of Vermont - Fletcher Allen Health Care 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.