CMS Price Transparency Data

X-ray, foot

Facility: Door County Medical Center

Billing Code: 73630 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$128
about 1.4× the $89 Medicare rate · typically $41–$286
modeled estimate · not a bill or quote
What this hospital charges insurers
$112
Below the fair price — a good deal
about $16 under the fair price · 1.3× Medicare
Medicare pays $89 Fair price $128 This hospital $112 Cash price $260 Hospital's list price $346

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 $112

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 $128 (about 1.4× the $89 Medicare rate). Door County Medical Center charges insurers about $112, or about $260 in cash — below the fair price — a good deal. Located in Sturgeon Bay, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $85 - $266 96%
Blue Cross Blue Shieldmajor $112 - $304 126%
Aetnamajor $113 - $311 127%
Cignamajor $282 317%
Humanamajor $112 - $113 126%
HealthPartners $111 - $282 125%
Molina $231 260%
+ 3 smaller / regional plans $176 - $282
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 323 South 18Th Avenue, Sturgeon Bay, WI 54235
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals