CMS Price Transparency Data

X-ray, foot

Facility: Vernon Memorial Hospital

Billing Code: 73630 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$145

about 1.6× the $89 Medicare rate · typically $41–$393

modeled estimate · not a bill or quote

What this hospital charges insurers

$102

Below the fair price — a good deal

about $43 under the fair price · 1.1× Medicare

Medicare pays $89 Fair price $145 This hospital $102 Cash price $282 Hospital's list price $282

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 $102

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 $145 (about 1.6× the $89 Medicare rate). Vernon Memorial Hospital charges insurers about $102, or about $282 in cash — below the fair price — a good deal. Located in Viroqua, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$102 - $312	115%
Blue Cross Blue Shieldmajor	$9 - $339	10%
Aetnamajor	$4 - $337	4%
Humanamajor	$141	159%
Quartz	$9 - $132	10%

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 282), 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 Vernon Memorial Hospital 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 Vernon Memorial Hospital

Compare: X-ray, foot at other WI hospitals

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