CMS Price Transparency Data

X-ray, foot

Facility: Boston Children's Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $344
Cash Discount Price: $485
vs. Medicare Baseline: 3.87x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Boston Children's Hospital is $344. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $485. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.87x the Medicare baseline. Located in 300 Longwood Avenue, Boston, MA.

Cash / Self-Pay

$485

Average discount available for prompt cash payment at this facility.

Insurance Median

$344

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: $485 (545%)

Insurance Median: $344 (387%)

Cash: $485 (545% of Medicare)

Ins. Median: $344 (387% 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 387% of the Medicare baseline (a markup of 287%). 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
Blue Cross Blue Shield	$128 - $320	144%
Unicare	$141	159%
Cdphp	$238 - $412	268%
Harvard Pilgrim	$246 - $328	277%
United	$290 - $405	326%
Aetna	$291 - $407	327%
Mgb/Allways	$295 - $359	332%
Tufts Public Plan	$298 - $299	335%
United Ri Nj Ny	$306	344%
Ambetter / Centene	$307	345%
Carelon Strategies/Bhs	$315	354%
UnitedHealthcare	$315 - $412	354%
Carelon/Beacon	$364	409%
Fallon	$370 - $374	416%
Health New England	$392	441%
Cigna	$412 - $438	463%
Ets/Lifetrac	$412	463%
Interlink Transplant	$412	463%
Community Health Options	$436	490%
Humana	$436	490%
Coventry/Hcvm/First Health	$446	502%
Multiplan/Phcs	$446 - $461	502%

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 $485.
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 Boston Children's 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.