CMS Price Transparency Data

X-ray, foot

Facility: Sheridan Memorial Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $171
Cash Discount Price: $48
vs. Medicare Baseline: 1.92x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Sheridan Memorial Hospital is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.92x the Medicare baseline. Located in 1401 W 5Th St, Sheridan, WY.

Cash / Self-Pay

$48

Average discount available for prompt cash payment at this facility.

Insurance Median

$171

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: $48 (54%)

Insurance Median: $171 (192%)

Cash: $48 (54% of Medicare)

Ins. Median: $171 (192% 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	$8 - $95	9%
Medi-Share Profee Only - All Plans	$22 - $54	25%
Miscellaneous-All Plans	$22 - $230	25%
Pacificsource-All Plans	$22 - $225	25%
Wise Provider Network-All Plans	$22 - $238	25%
Cigna	$23 - $238	26%
First Choice Comm - All Plans	$24 - $243	27%
Phcs Multiplan-All Plans	$24 - $243	27%
Three Rivers-All Plans	$24 - $243	27%
Blue Cross Blue Shield	$80 - $212	90%
Wy School Boards-All Plans	$171 - $214	192%
UnitedHealthcare	$176 - $219	198%
C1 Employee - All Plans	$184 - $230	207%
Casper Opco Llc - All Plans	$184 - $230	207%
First Health Comm - All Plans	$184 - $230	207%
Ebms - All Plans	$195 - $243	219%

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 $48.
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 Sheridan 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.