CMS Price Transparency Data

X-ray, foot

Facility: Beloit Health System

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $348
Cash Discount Price: $161
vs. Medicare Baseline: 3.91x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Beloit Health System is $348. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $161. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.91x the Medicare baseline. Located in 1969 W Hart Rd, Beloit, WI.

Cash / Self-Pay

$161

Average discount available for prompt cash payment at this facility.

Insurance Median

$348

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: $161 (181%)

Insurance Median: $348 (391%)

Cash: $161 (181% of Medicare)

Ins. Median: $348 (391% 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 391% of the Medicare baseline (a markup of 291%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$8 - $1,020	9%
Blue Cross Blue Shield	$8 - $698	9%
Dean Health	$8 - $601	9%
Independent Care Health Plan	$8 - $92	9%
Quartz	$8 - $698	9%
UnitedHealthcare	$8 - $313	9%
Naphcare	$12 - $348	13%
Humana	$29 - $435	33%
The Alliance	$30 - $366	34%
Wps	$40 - $795	45%
Cook Children'S Health Plan (Cchp)	$82 - $537	92%
Wea Trust	$90 - $590	101%
Managed Health Services	$92	103%
Molina Healthcare	$92	103%
Wellcare	$92	103%
Multiplan	$131 - $859	147%
Health Eos	$150 - $977	169%
Cigna	$156 - $1,020	175%
Hfn	$156 - $1,020	175%
Preferred Network Access	$156 - $1,020	175%

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 $161.
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 Beloit Health System 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.