CMS Price Transparency Data

X-ray, foot

Facility: Prosser Memorial Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $17
Cash Discount Price: $133
vs. Medicare Baseline: 0.19x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Prosser Memorial Hospital is $17. 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 0.19x the Medicare baseline. Located in 723 Memorial Street, Prosser, WA.

Cash / Self-Pay

$133

Average discount available for prompt cash payment at this facility.

Insurance Median

$17

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: $17 (19%)

Cash: $133 (150% of Medicare)

Ins. Median: $17 (19% 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
Community Health Plan Of Washington	$4 - $182	4%
Coordinated Care	$4 - $182	4%
Kaiser Permanente	$4 - $410	4%
UnitedHealthcare	$4 - $360	4%
Amerigroup	$5 - $193	6%
Molina	$5 - $182	6%
Aetna	$9 - $382	10%
Health Alliance Northwest	$9 - $112	10%
Humana	$9 - $382	10%
Wellcare	$9 - $112	10%
Cigna	$10 - $369	11%
Premera	$11 - $360	12%
Asuris	$12 - $405	13%
Health Management Adminstrators	$12 - $405	13%
Regence	$12 - $405	13%
Ambetter / Centene	$16 - $346	18%
Multiplan	$30 - $405	34%
First Choice	$382	430%

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 $133.
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 Prosser Memorial 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.