CMS Price Transparency Data

X-ray, foot

Facility: Barnes Jewish Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $254
Cash Discount Price: $235
vs. Medicare Baseline: 2.86x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Barnes Jewish Hospital is $254. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $235. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.86x the Medicare baseline. Located in One Barnes-Jewish Hospital Plaza, Saint Louis, MO.

Cash / Self-Pay

$235

Average discount available for prompt cash payment at this facility.

Insurance Median

$254

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: $235 (264%)

Insurance Median: $254 (286%)

Cash: $235 (264% of Medicare)

Ins. Median: $254 (286% 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 286% of the Medicare baseline (a markup of 186%). 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	$54 - $340	61%
Humana	$68	76%
Consociate [478]	$71	80%
Sarah Bush Lincoln [636]	$71	80%
Cigna	$80 - $313	90%
Aetna	$103 - $293	116%
Allied Benefits [498]	$103 - $291	116%
Coresource [497]	$103	116%
Fmh Benefit Service Inc [222]	$103	116%
Mail Handlers [495]	$103	116%
Apwu Health Plan [216]	$111	125%
Nalc Health Benefit Plan [242]	$111	125%
Priority Health [648]	$111	125%
Healthlink [225]	$190 - $295	214%
Cox Health Systems Insurance Company [220]	$215 - $254	242%
Health Alliance [224]	$215	242%
Hope Trust [806]	$227	255%
Healthscope Benefits [258]	$239 - $380	269%
Med-Pay [480]	$254 - $293	286%
Unicare [568]	$254 - $295	286%
First Health Commercial [734]	$291	327%
UnitedHealthcare	$291 - $380	327%
Beechstreet [551]	$293	330%
Detego Health [868]	$293	330%
Health Systems Inc [620]	$293	330%
Healthcare Sol Mercy [609]	$293	330%
Multiplan Commercial [737]	$293	330%
Multiplan [240]	$293	330%
Phcs [244]	$293 - $313	330%
Preferred Health Professionals [561]	$295	332%
Medica [661]	$313	352%
Hfn [563]	$332	373%

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 $235.
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 Barnes Jewish 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.