CMS Price Transparency Data

X-ray, foot

Facility: Northwestern Memorial Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $492
Cash Discount Price: $594
vs. Medicare Baseline: 5.53x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Northwestern Memorial Hospital is $492. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $594. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.53x the Medicare baseline. Located in 251 E Huron St, Chicago, IL.

Cash / Self-Pay

$594

Average discount available for prompt cash payment at this facility.

Insurance Median

$492

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: $594 (668%)

Insurance Median: $492 (553%)

Cash: $594 (668% of Medicare)

Ins. Median: $492 (553% 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 553% of the Medicare baseline (a markup of 453%). 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
Curaechoice [6100]	$103 - $199	116%
Aetna	$165 - $849	186%
Imagine Health [6032]	$229	258%
Global Medical Management Inc [6090]	$256 - $492	288%
Medpartners [6038]	$309 - $594	348%
Humana	$340 - $424	382%
Blue Cross Blue Shield	$382 - $849	430%
Healthlink [125]	$424 - $849	477%
Health'S Finest Network [126]	$552 - $722	621%
Cigna	$679 - $849	764%
Multiplan/Phcs [142]	$679 - $849	764%
First Health Plan [6034]	$849	955%
Galaxy Health Network [220]	$849	955%
UnitedHealthcare	$849	955%

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 $594.
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 Northwestern Memorial Hospital 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.