CMS Price Transparency Data

X-ray, foot

Facility: Othello Community Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $292
  • Cash Discount Price: $274
  • vs. Medicare Baseline: 3.28x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Othello Community Hospital is $292. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $274. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.28x the Medicare baseline. Located in 315 North 14Th Avenue, Othello, WA.
Cash / Self-Pay
$274

Average discount available for prompt cash payment at this facility.

Insurance Median
$292

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: $274 (308%)
Insurance Median: $292 (328%)
Cash: $274 (308% of Medicare)
Ins. Median: $292 (328% 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 328% of the Medicare baseline (a markup of 228%). 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
Ambetter / Centene $155 - $157 174%
Amerigroup Mcaid $155 174%
Chp Mcaid $155 174%
Cocare - All Plans $155 174%
Gau - All Plans $155 174%
Kaiser - All Plans $155 174%
Molina Mcaid $155 174%
UnitedHealthcare $155 - $365 174%
Chp - All Other Plans $157 177%
Molina - All Other Plans $157 177%
Medicare (plans) $182 205%
Tricare $237 267%
Triwest - All Plans $237 267%
Asuris - All Plans $292 328%
Commercial Other - All Plans $292 328%
Hma - All Plans $292 328%
Hmso - All Plans $292 328%
Tpsc - All Plans $292 328%
Travelers - All Plans $292 328%
Veterans Admin - All Plans $292 328%
Blue Cross Blue Shield $306 344%
Cigna $325 366%
First Choice - All Plans $328 369%
Aetna $343 386%
Chp Mcr Adv $365 411%
Health Alliance Mcr Adv - All Plans $365 411%
Humana $365 411%
Molina Mcare $365 411%
Wellcare Mcr Adv - All Plans $365 411%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 North 14Th Avenue, Othello, WA 99344
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals