CMS Price Transparency Data

X-ray, foot

Facility: Albany Medical Center Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $26
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 0.29x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Albany Medical Center Hospital is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.29x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$38

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $38 (43%)
Insurance Median: $26 (29%)
Cash: $38 (43% of Medicare)
Ins. Median: $26 (29% 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.

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
Cdphp $5 - $116 6%
Blue Cross Blue Shield $6 - $116 7%
Fidelis $6 - $178 7%
Medicare (plans) $6 - $36 7%
Tricare $6 - $31 7%
Blue Shield Highmark $7 - $89 8%
Hamaspik $7 - $142 8%
Medicaid / KanCare $7 - $31 8%
Aetna $8 - $102 9%
Emblem Health Ghi $8 - $69 9%
Mvp $8 - $99 9%
Nascentia $8 - $35 9%
UnitedHealthcare $8 - $420 9%
Cigna $12 - $54 13%
Empire Plan Nyship $13 - $420 15%
Multiplan $14 - $446 16%
Blue Shield $16 - $59 18%
Nys Department Of Corrections $19 - $67 21%
Nascentia Health Options $49 55%
Emblem $50 - $82 56%
Emblem_Ghi $82 92%
Magnacare $83 93%
Mvp Commercial $87 98%
Mvp Essential Plan $111 125%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals