""XR FOOT 3 VIEW MIN RIGHT"" at Stonewall Memorial Hospital

79502, TX

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Pricing by billing methodology

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Payers reporting CPT 73630-RT at Stonewall Memorial Hospital

Negotiated rates from the hospital’s own file: 5 payers, 8 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Aetna mdc adv percent of total billed charges · outpatientfrom % of charges	$80	$80	—	—	—	$80 – $80
2	Humana mdc adv percent of total billed charges · outpatientfrom % of charges	$80	$80	—	—	—	$80 – $80
3	UnitedHealthcare mdc adv percent of total billed charges · outpatientfrom % of charges	$80	$80	—	—	—	$80 – $80
4	Cigna comm percent of total billed charges · inpatientfrom % of charges	$102	$102	—	—	—	$102 – $102
5	Cigna comm percent of total billed charges · outpatientfrom % of charges	$102	$102	—	—	—	$102 – $102
6	UnitedHealthcare comm percent of total billed charges · outpatientfrom % of charges	$102	$102	—	—	—	$102 – $102
7	Blue Cross Blue Shield comm percent of total billed charges · inpatientfrom % of charges	$116	$116	—	—	—	$116 – $116
8	Blue Cross Blue Shield comm percent of total billed charges · outpatientfrom % of charges	$116	$116	—	—	—	$116 – $116

Last updated: Mar 11, 2026

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