CMS Price Transparency Data

X-ray, foot

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $353
  • Cash Discount Price: $498
  • vs. Medicare Baseline: 3.97x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at University of Wi Hospitals & Clinics Authority is $353. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $498. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.97x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.
Cash / Self-Pay
$498

Average discount available for prompt cash payment at this facility.

Insurance Median
$353

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: $498 (560%)
Insurance Median: $353 (397%)
Cash: $498 (560% of Medicare)
Ins. Median: $353 (397% 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 397% of the Medicare baseline (a markup of 297%). 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
Aetna $89 - $887 100%
Blue Cross Blue Shield $89 - $1,051 100%
Humana $89 - $133 100%
Medicare (plans) $89 - $136 100%
UnitedHealthcare $89 - $692 100%
Alliance_Premier_Network $264 - $528 297%
Mercycare $274 - $549 308%
Triology $282 - $675 317%
Security_Health_Plan $299 - $702 336%
Employer'S_Coalition_On_Health $304 - $852 342%
Alliance $311 - $622 350%
Hfn $315 - $852 354%
United_Healthcare $317 - $939 357%
Beloit_Health_System $321 - $641 361%
Aspirus_Health_Plan $323 - $646 363%
Cigna $332 - $664 373%
Health_Partners_Insurance $337 - $675 379%
Health_Payment_Systems $339 - $678 381%
Dean_Health_Plan $354 - $708 398%
Medical_Associates $365 - $730 411%
Wps $383 - $844 431%
Employers_Healthcare_Coalition_Of_Wi $387 - $774 435%
Aspirus_Network_Inc $426 - $852 479%
Chorus_Community $442 - $885 497%
Ghc_Eau_Claire_Health_Plan $442 - $885 497%
Multiplan $442 - $1,018 497%
Sheybogan_Employers_Health_Network $442 - $885 497%
Coventry $470 - $940 529%
Dean_Care $470 - $940 529%
Healthsmart $487 - $973 548%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Highland Avenue, Madison, WI 53792
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals