CMS Price Transparency Data

X-ray, foot

Facility: Mt Sinai Hospital Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $93
  • Cash Discount Price: $180
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Mt Sinai Hospital Medical Center is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $180. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.05x the Medicare baseline. Located in 15Th Street at California, Chicago, IL.
Cash / Self-Pay
$180

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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: $180 (202%)
Insurance Median: $93 (105%)
Cash: $180 (202% of Medicare)
Ins. Median: $93 (105% 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.

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
Partners In Hlth - All Plans $8 - $198 9%
Blue Cross Blue Shield $9 - $314 10%
Healthlink Hmo $10 - $247 11%
Healthlink Ppo - All Other Plans $10 - $247 11%
Compsych Ip/Op Only - All Plans $12 - $296 13%
Hfn Platinum $13 - $321 15%
Multiplan Primary Ntwrk/Phcs - All Other Plans $14 - $346 16%
Hfn Epo $16 - $395 18%
Multiplan Complementary Ntwrk $16 - $395 18%
Hfn Ppo - All Other Plans $18 - $435 20%
Ambetter / Centene $22 - $519 25%
Oscar - All Plans $22 - $519 25%
Cigna $25 - $611 28%
Aetna $46 - $1,117 52%
Humana $64 - $1,551 72%
Family Health Network Mcaid - All Plans $84 94%
Molina Mcaid $88 99%
Tricare $90 101%
Va Healthnet - All Plans $90 101%
Advocate Physician Prtnrs Mcr $93 105%
Cenpatico Illinicare Dual $93 105%
Cenpatico Illinicare Mcr - All Other Plans $93 105%
Lawndale Christian - All Plans $93 105%
Meridian/Harmony D-Snp - All Plans $93 105%
Nextlevel Hlth Icp Fhp Aca - All Plans $93 105%
UnitedHealthcare $93 - $283 105%
Harmony Behavioral Htlh - All Plans $96 108%
Zing Mcr Adv - All Plans $97 109%
Molina Mcr - All Other Plans $98 110%
Advocate Physician Prtnrs - All Other Plans $103 116%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15Th Street at California, Chicago, IL 60608
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals