CMS Price Transparency Data

X-ray, foot

Facility: St Louis Childrens Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $474
Cash Discount Price: $383
vs. Medicare Baseline: 5.33x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at St Louis Childrens Hospital is $474. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $383. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.33x the Medicare baseline. Located in One Childrens Place, Saint Louis, MO.

Cash / Self-Pay

$383

Average discount available for prompt cash payment at this facility.

Insurance Median

$474

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: $383 (431%)

Insurance Median: $474 (533%)

Cash: $383 (431% of Medicare)

Ins. Median: $474 (533% 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 533% of the Medicare baseline (a markup of 433%). 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
Healthlink [225]	$309 - $482	348%
Cigna	$315 - $346	354%
Apwu Health Plan [216]	$346	389%
Consociate [478]	$346	389%
Nalc Health Benefit Plan [242]	$346	389%
Priority Health [648]	$346	389%
Sarah Bush Lincoln [636]	$346	389%
Blue Cross Blue Shield	$351 - $542	395%
Cox Health Systems Insurance Company [220]	$351 - $472	395%
Allied Benefits [498]	$370 - $504	416%
Hope Trust [806]	$370	416%
Med-Pay [480]	$415 - $478	467%
Unicare [568]	$415 - $482	467%
Health Alliance [224]	$447	503%
Healthscope Benefits [258]	$455 - $510	512%
UnitedHealthcare	$455 - $474	512%
Aetna	$474 - $504	533%
First Health Commercial [734]	$474	533%
Humana	$475	534%
Beechstreet [551]	$478	538%
Detego Health [868]	$478	538%
Health Systems Inc [620]	$478	538%
Healthcare Sol Mercy [609]	$478	538%
Multiplan Commercial [737]	$478	538%
Multiplan [240]	$478	538%
Phcs [244]	$478 - $510	538%
Preferred Health Professionals [561]	$482	542%
Coresource [497]	$504	567%
Fmh Benefit Service Inc [222]	$504	567%
Mail Handlers [495]	$504	567%
Medica [661]	$510	574%
Hfn [563]	$542	610%

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 $383.
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 St Louis Childrens 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.