CMS Price Transparency Data

X-ray, foot

Facility: Unitypoint Health - Meriter

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $62
  • Cash Discount Price: $202
  • vs. Medicare Baseline: 0.70x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Unitypoint Health - Meriter is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $202. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.70x the Medicare baseline. Located in 202 S Park St, Madison, WI.
Cash / Self-Pay
$202

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

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: $202 (227%)
Insurance Median: $62 (70%)
Cash: $202 (227% of Medicare)
Ins. Median: $62 (70% 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.

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
Aspirus $7 - $451 8%
Blue Cross Blue Shield $7 - $714 8%
Illinicare $7 - $85 8%
Prevea 360 $7 - $639 8%
UnitedHealthcare $7 - $310 8%
Humana $8 - $85 9%
Meridiancare $8 - $85 9%
Health Partners Open Network $16 - $274 18%
Wellmark Uph Self-Funded $18 - $434 20%
Medical Associates Health Plan $25 - $270 28%
Cigna $29 - $225 33%
Security Health Plan $31 - $233 35%
Mercy Care $36 - $249 40%
Quartz $234 263%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 202 S Park St, Madison, WI 53715
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals