CMS Price Transparency Data

X-ray, foot

Facility: Thedacare Medical Center - Shawano

Billing Code: 73630 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$135

about 1.5× the $89 Medicare rate · typically $77–$217

modeled estimate · not a bill or quote

What this hospital charges insurers

$114

Below the fair price — a good deal

about $21 under the fair price · 1.3× Medicare

Medicare pays $89 Fair price $135 This hospital $114 Cash price $236 Hospital's list price $422

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $24 Priciest $114

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, foot is about $135 (about 1.5× the $89 Medicare rate). Thedacare Medical Center - Shawano charges insurers about $114, or about $236 in cash — below the fair price — a good deal. Located in Shawano, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$95 - $400	107%
Blue Cross Blue Shieldmajor	$105 - $112	118%
Humanamajor	$114	128%
HealthPartners	$112	126%
+ 2 smaller / regional plans	$262 - $283

Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 236), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73630.

Insurance Before you use insurance

Call your insurance company to confirm Thedacare Medical Center - Shawano is in-network.
Ask your insurer whether prior approval is required for CPT code 73630.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Thedacare Medical Center - Shawano

Compare: X-ray, foot at other WI hospitals

Insurance negotiated median for the same procedure, sorted lowest first.