CMS Price Transparency Data

X-ray, foot

Facility: Kapiolani Medical Center for Women & Children

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $206
Cash Discount Price: $335
vs. Medicare Baseline: 2.32x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Kapiolani Medical Center for Women & Children is $206. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $335. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.32x the Medicare baseline. Located in 1319 Punahou Street, Honolulu, HI.

Cash / Self-Pay

$335

Average discount available for prompt cash payment at this facility.

Insurance Median

$206

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: $335 (377%)

Insurance Median: $206 (232%)

Cash: $335 (377% of Medicare)

Ins. Median: $206 (232% 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 232% of the Medicare baseline (a markup of 132%). 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
Hmsa	$19 - $88	21%
Ohana	$20 - $201	22%
UnitedHealthcare	$29 - $206	33%
Pac Admin	$40	45%
Mdx	$41 - $550	46%
Uha	$44 - $516	49%
Hwmg/Hmaa	$50 - $546	56%
Alohacare	$88 - $201	99%
Kaiser	$88 - $605	99%
Devoted	$92	103%
Mimoh	$301 - $516	339%
Calvos	$322 - $516	362%
Hcha	$344 - $550	387%
Multiplan	$344 - $585	387%
Verdegard	$344 - $550	387%
Mccp	$366 - $585	412%
Coventry	$387 - $619	435%

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 $335.
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 Kapiolani Medical Center for Women & Children 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.