CMS Price Transparency Data

X-ray, foot

Facility: Children's Healthcare of Atlanta at Scottish Rite

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $472
Cash Discount Price: $820
vs. Medicare Baseline: 5.31x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Children's Healthcare of Atlanta at Scottish Rite is $472. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $820. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.31x the Medicare baseline. Located in 1001 Johnson Ferry Road, Atlanta, GA.

Cash / Self-Pay

$820

Average discount available for prompt cash payment at this facility.

Insurance Median

$472

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: $820 (922%)

Insurance Median: $472 (531%)

Cash: $820 (922% of Medicare)

Ins. Median: $472 (531% 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 531% of the Medicare baseline (a markup of 431%). 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
Peachstate [43]	$229 - $457	258%
Caresource [61]	$235 - $469	264%
Amerigroup [102]	$237 - $474	267%
Cigna	$362 - $722	407%
Blue Cross Blue Shield	$363 - $1,067	408%
United [5]	$363 - $725	408%
Ambetter / Centene	$366 - $732	412%
Oscar [228]	$366 - $732	412%
Aetna	$368 - $736	414%
Caresource Marketplace Bronze/Silver/Gold [60]	$372 - $743	418%
Kaiser [6]	$372 - $744	418%
Sidecar Health [236]	$377 - $754	424%
Direct Employer Agreements [72]	$383 - $929	431%
Coventry [9]	$384 - $767	432%
Northeast Georgia Heatlh System [808]	$410 - $820	461%
Veracity Benefits [809]	$410 - $820	461%
First Health [74]	$411 - $820	462%
Phcs [93]	$465 - $929	523%
Secure Health [340]	$465 - $929	523%
Beech Street [71]	$492 - $984	553%
Multiplan [92]	$536 - $1,071	603%
Novanet [41]	$547 - $1,093	615%

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 $820.
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 Children's Healthcare of Atlanta at Scottish Rite 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.