CMS Price Transparency Data

X-ray, foot

Facility: Missouri Baptist Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $217
Cash Discount Price: $259
vs. Medicare Baseline: 2.44x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Missouri Baptist Medical Center is $217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $259. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.44x the Medicare baseline. Located in 3015 N Ballas Rd, Saint Louis, MO.

Cash / Self-Pay

$259

Average discount available for prompt cash payment at this facility.

Insurance Median

$217

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: $259 (291%)

Insurance Median: $217 (244%)

Cash: $259 (291% of Medicare)

Ins. Median: $217 (244% 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 244% of the Medicare baseline (a markup of 144%). 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	$49 - $501	55%
Humana	$58	65%
Consociate [478]	$60	67%
Sarah Bush Lincoln [636]	$60	67%
Aetna	$77 - $432	87%
Allied Benefits [498]	$77 - $428	87%
Coresource [497]	$77	87%
Fmh Benefit Service Inc [222]	$77	87%
Mail Handlers [495]	$77	87%
Cigna	$81 - $90	91%
Apwu Health Plan [216]	$90	101%
Nalc Health Benefit Plan [242]	$90	101%
Priority Health [648]	$90	101%
Healthlink [225]	$140 - $435	157%
Cox Health Systems Insurance Company [220]	$158 - $374	178%
Health Alliance [224]	$158 - $317	178%
Med-Pay [480]	$187 - $432	210%
Unicare [568]	$187 - $435	210%
First Health Commercial [734]	$214 - $428	241%
UnitedHealthcare	$214 - $428	241%
Beechstreet [551]	$216 - $432	243%
Detego Health [868]	$216 - $432	243%
Health Systems Inc [620]	$216 - $432	243%
Healthcare Sol Mercy [609]	$216 - $432	243%
Multiplan Commercial [737]	$216 - $432	243%
Multiplan [240]	$216 - $432	243%
Phcs [244]	$216 - $461	243%
Preferred Health Professionals [561]	$217 - $435	244%
Hfn [563]	$230 - $461	259%
Medica [661]	$230 - $461	259%
Healthscope Benefits [258]	$296	333%

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 $259.
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 Missouri Baptist Medical Center 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.