CMS Price Transparency Data

X-ray, foot

Facility: Grant Regional Health Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $260
  • Cash Discount Price: $232
  • vs. Medicare Baseline: 2.92x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Grant Regional Health Center is $260. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $232. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.92x the Medicare baseline. Located in 507 S Monroe St, Lancaster, WI.
Cash / Self-Pay
$232

Average discount available for prompt cash payment at this facility.

Insurance Median
$260

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: $232 (261%)
Insurance Median: $260 (292%)
Cash: $232 (261% of Medicare)
Ins. Median: $260 (292% 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 292% of the Medicare baseline (a markup of 192%). 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
Americhoice Mcaid - All Plans $101 114%
Quartz Mcr Adv $157 177%
UnitedHealthcare $157 - $318 177%
Quartz Health Solution - All Other Plans $193 217%
Medical Associates - All Plans $260 292%
The Alliance - All Plans $270 304%
Wps - All Plans $290 326%
Blue Cross Blue Shield $303 341%
Dean Health Plan - All Plans $1,210 1361%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 507 S Monroe St, Lancaster, WI 53813
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals