CMS Price Transparency Data

X-ray, foot

Facility: Black River Memorial Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $161
Cash Discount Price: $416
vs. Medicare Baseline: 1.81x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Black River Memorial Hospital is $161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $416. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.81x the Medicare baseline. Located in 711 W Adams St, Black River Falls, WI.

Cash / Self-Pay

$416

Average discount available for prompt cash payment at this facility.

Insurance Median

$161

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: $416 (468%)

Insurance Median: $161 (181%)

Cash: $416 (468% of Medicare)

Ins. Median: $161 (181% 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.

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
Humana	$7 - $430	8%
UnitedHealthcare	$7 - $436	8%
Blue Cross Blue Shield	$8 - $407	9%
Group Health Cooperative Of Eau Claire	$8 - $448	9%
My Choice Wisconsin, Inc.	$8 - $236	9%
Quartz Health Solutions, Inc	$8 - $420	9%
Security Health Plan	$24 - $432	27%
The Alliance	$24 - $444	27%
Multiplan	$71 - $457	80%
Corvel	$103 - $282	116%
Triology Health Solutions	$152 - $439	171%
Medica	$158 - $432	178%
Association Benefits Solution	$161 - $439	181%
Family Health Center Of Marshfield	$161 - $439	181%
First Health Group Corporation	$161 - $439	181%
Provider Network Of America	$161 - $439	181%
Cigna	$164 - $448	184%
Cofinity	$164 - $448	184%
Coventry Health Care	$164 - $448	184%
Custom Benefit Administrators	$164 - $448	184%
Healthpartners, Inc.	$164 - $448	184%
Wisconsin Physicians Service Insurance Corp	$164 - $448	184%
Chorus	$166 - $453	187%

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 $416.
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 Black River 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.