CMS Price Transparency Data

X-ray, foot

Facility: Springfield Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $721
Cash Discount Price: $678
vs. Medicare Baseline: 8.11x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Springfield Hospital is $721. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $678. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.11x the Medicare baseline. Located in Po Box 2003, Springfield, VT.

Cash / Self-Pay

$678

Average discount available for prompt cash payment at this facility.

Insurance Median

$721

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: $678 (763%)

Insurance Median: $721 (811%)

Cash: $678 (763% of Medicare)

Ins. Median: $721 (811% 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 811% of the Medicare baseline (a markup of 711%). 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
Blue Cross Blue Shield	$338 - $917	380%
Mvp Health Plan	$338 - $706	380%
UnitedHealthcare	$338 - $825	380%
Wellsense	$338 - $917	380%
Harvard Pilgrim Health Care	$342 - $759	385%
Wellcare	$348 - $359	391%
Tufts Health Plan	$547 - $563	615%
Cigna	$625 - $954	703%
Multiplan	$739 - $761	831%
Aetna	$846 - $871	952%
Coventry	$846 - $871	952%
Beacon Health	$890 - $917	1001%
Manage Behavioral Health	$890 - $917	1001%
Martin'S Point Healthcare	$890 - $917	1001%

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 $678.
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 Springfield 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.