CMS Price Transparency Data

X-ray, foot

Facility: Garfield County Public Hospital District #1

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $257
  • Cash Discount Price: $133
  • vs. Medicare Baseline: 2.89x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Garfield County Public Hospital District #1 is $257. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.89x the Medicare baseline. Located in 66 North Sixth Street, Pomeroy, WA.
Cash / Self-Pay
$133

Average discount available for prompt cash payment at this facility.

Insurance Median
$257

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: $133 (150%)
Insurance Median: $257 (289%)
Cash: $133 (150% of Medicare)
Ins. Median: $257 (289% 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 289% of the Medicare baseline (a markup of 189%). 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
Three Rivers Provider Network - All Plans $22 - $243 25%
Multiplan Primary Network - All Other Plans $24 - $263 27%
Medical Cost Containment Ppo - All Plans $25 - $272 28%
Multiplan Complementary $25 - $272 28%
Provider Network Of America - All Plans $25 - $272 28%
Cigna $229 258%
Aetna $257 289%
Coordinated Care - All Plans $257 289%
First Choice Health Network - All Plans $257 289%
Premera First - All Plans $257 289%
Regence Blue Shield Of Idaho - All Plans $286 322%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 66 North Sixth Street, Pomeroy, WA 99347
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals