Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC FOOT COMPLETE MIN 3 VWS
Goldsboro, NC
See all hospitals reporting CPT 73630 →Price type
Wayne Memorial Hospital’s median price of $132 is 5% above the median hospital's median price ($126), higher than 53% of the 2,692 hospitals reporting CPT 73630. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 20 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 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 2 | Optum vaccn facility · fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 3 | Humana medicare hmo facility · fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 4 | Humana medicare ppo facility · fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 5 | Cigna medicare advantage facility · fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 6 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 7 | Aetna medicare advantage facility · fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 8 | Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $132 | $132 | — | — | — | $132 – $132 |
| 9 | UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $132 | $132 | — | — | — | $132 – $132 |
| 10 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $132 | $132 | — | — | — | $132 – $132 |
| 11 | UnitedHealthcare individual exchange facility · per diem · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 12 | UnitedHealthcare commercial facility · per diem · outpatient | $244 | $244 | — | — | — | $244 – $244 |
| 13 | Blue Cross Blue Shield blue select/blue value/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $334 | $334 | — | — | — | $334 – $334 |
| 14 | Aetna north carolina preferred facility · percent of total billed charges · outpatientfrom % of charges | $381 | $381 | — | — | — | $381 – $381 |
| 15 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $381 | $381 | — | — | — | $381 – $381 |
| 16 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $394 | $394 | — | — | — | $394 – $394 |
| 17 | UnitedHealthcare individual exchange facility · percent of total billed charges · inpatientfrom % of charges | $395 | $395 | — | — | — | $395 – $395 |
| 18 | Medcost commercial/ultra facility · percent of total billed charges · outpatientfrom % of charges | $434 | $434 | — | — | — | $434 – $434 |
| 19 | Medcost commercial/ultra facility · percent of total billed charges · inpatientfrom % of charges | $440 | $440 | — | — | — | $440 – $440 |
| 20 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $461 | $461 | — | — | — | $461 – $461 |
Last updated: Jun 18, 2026
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