CMS Price Transparency Data

X-ray, foot

Facility: Marshfield Medical Center - Weston

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $255
Cash Discount Price: $274
vs. Medicare Baseline: 2.87x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Marshfield Medical Center - Weston is $255. 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 2.87x the Medicare baseline. Located in 3400 Ministry Parkway, Weston, WI.

Cash / Self-Pay

$274

Average discount available for prompt cash payment at this facility.

Insurance Median

$255

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: $255 (287%)

Cash: $274 (308% of Medicare)

Ins. Median: $255 (287% 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 287% of the Medicare baseline (a markup of 187%). 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
Security Health Plan (Shp)	$84 - $191	94%
UnitedHealthcare	$84 - $238	94%
Veteran'S Administration (Va Ccn)	$84	94%
Blue Cross Blue Shield	$86 - $267	97%
Group Health Cooperative Of Eau Claire	$89 - $259	100%
Family Health Center (Fhc)	$144	162%
Amish/Mennonite	$158	178%
Sanford Health Plan	$158	178%
The Alliance	$168 - $1,812	189%
Besse Forest Products	$245	276%
Molina Healthcare Of Wi	$245	276%
Rice Lake School District	$245	276%
Wps Health Insurance	$255 - $278	287%
Medica Of Wi	$268 - $274	301%
Cigna	$271	305%
Healtheos By Multiplan Inc.	$271 - $274	305%
Corvel	$274	308%
First Health	$274	308%
Health Partners	$274	308%
Three Rivers Provider Network (Trpn)	$274	308%
Trilogy	$275 - $276	309%
Coventry	$276	310%
Health Smart	$276	310%
Rising Medical Work Comp	$279	314%

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 $274.
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 Marshfield Medical Center - Weston 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.