CMS Price Transparency Data

X-ray, foot

Facility: Community Memorial Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $487
Cash Discount Price: $385
vs. Medicare Baseline: 5.48x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Community Memorial Hospital is $487. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $385. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.48x the Medicare baseline. Located in W180 N8085 Town Hall Rd, Menomonee Falls, WI.

Cash / Self-Pay

$385

Average discount available for prompt cash payment at this facility.

Insurance Median

$487

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: $385 (433%)

Insurance Median: $487 (548%)

Cash: $385 (433% of Medicare)

Ins. Median: $487 (548% 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 548% of the Medicare baseline (a markup of 448%). 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
Blue Cross Blue Shield	$44 - $595	49%
Allwell	$86	97%
Community Care	$86	97%
Health Partners	$86 - $455	97%
Humana	$86	97%
Icare	$86	97%
Network Health Plan	$86 - $399	97%
Security Health Plan	$86	97%
UnitedHealthcare	$86 - $597	97%
Aetna	$87 - $490	98%
Care Wisconsin/Mychoice	$88	99%
Centivo	$210 - $231	236%
Sheboygan Employers Health Network	$293	330%
Froedtert South	$294	331%
Chorus Community Health Plan	$301	339%
Common Ground	$420	472%
Trilogy	$483	543%
Health Payment Systems	$487	548%
Wisconsin Physician Services	$490	551%
Aspirus	$560	630%
Ibsi Passport	$567	638%
Americas Choice	$609	685%
Federated Mutual	$609	685%
Healtheos	$609	685%
Multiplan/Private Healthcare Systems	$609	685%
Savility	$609	685%
Cigna	$616	693%
First Health Network	$616	693%
Healthsmart	$630	709%
Physicians Plus	$630	709%

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 $385.
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 Community 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.