CMS Price Transparency Data

X-ray, foot

Facility: The Nebraska Methodist Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $173
Cash Discount Price: $169
vs. Medicare Baseline: 1.95x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at The Nebraska Methodist Hospital is $173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $169. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.95x the Medicare baseline. Located in 8303 Dodge St, Omaha, NE.

Cash / Self-Pay

$169

Average discount available for prompt cash payment at this facility.

Insurance Median

$173

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: $169 (190%)

Insurance Median: $173 (195%)

Cash: $169 (190% of Medicare)

Ins. Median: $173 (195% 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.

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
Aetna	$57 - $88	64%
Humana	$88	99%
Medicare (plans)	$88 - $89	99%
Blue Cross Blue Shield	$89 - $324	100%
Medica	$89 - $266	100%
UnitedHealthcare	$89 - $190	100%
Wellmark	$117 - $345	132%
Ne Furniture Mart	$144 - $288	162%
Medica Choice	$157 - $314	177%
Ambetter / Centene	$184	207%
Elite Choice	$184	207%
Midlands Choice	$220 - $439	247%

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 $169.
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 The Nebraska Methodist 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.