CMS Price Transparency Data

X-ray, foot

Facility: Charleston Area Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $414
Cash Discount Price: $503
vs. Medicare Baseline: 4.66x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Charleston Area Medical Center is $414. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $503. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.66x the Medicare baseline. Located in 501 Morris Street, Charleston, WV.

Cash / Self-Pay

$503

Average discount available for prompt cash payment at this facility.

Insurance Median

$414

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: $503 (566%)

Insurance Median: $414 (466%)

Cash: $503 (566% of Medicare)

Ins. Median: $414 (466% 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 466% of the Medicare baseline (a markup of 366%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$16 - $541	18%
The Health Plan Of West Virginia Inc.	$16 - $535	18%
Unicare Health Plan Of West Virginia Inc.	$16	18%
Triwest Va	$86	97%
Blue Cross Blue Shield	$89 - $503	100%
Choicecare Network	$89 - $541	100%
Optimum Choice Inc.	$89	100%
UnitedHealthcare	$92 - $541	103%
West Virginia Senior Advantage Inc.	$93	105%
Integrated Medical Solutions	$173	195%
Naphcare	$178	200%
Caresource	$222	250%
Tricare	$272 - $331	306%
City Of Charleston	$340 - $414	382%
Cigna	$422 - $513	475%
Three Rivers Providers Network	$440 - $535	495%
Healthsmart	$445 - $541	501%
Multiplan	$445 - $541	501%

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 $503.
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 Charleston Area Medical Center 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.