CMS Price Transparency Data

X-ray, foot

Facility: Elmhurst Hospital Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $62
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.70x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Elmhurst Hospital Center is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.70x the Medicare baseline. Located in 79-01 Broadway, Elmhurst, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

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%)
Insurance Median: $62 (70%)
Ins. Median: $62 (70% 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
Aetna $6 - $1,131 7%
Healthfirst $7 - $128 8%
Amidacare $9 - $57 10%
Emblem $9 - $187 10%
Wellcare $9 - $140 10%
Metroplus $11 - $128 12%
Fidelis $12 - $148 13%
Oscar $13 - $156 15%
Blue Cross Blue Shield $57 - $187 64%
Carelon $57 - $152 64%
Senior Whole Health $57 64%
United $57 - $187 64%
United Behavioral Health $57 - $62 64%
Affinity $58 - $128 65%
Carelon (Amida Care) $58 65%
Vnsny $58 - $199 65%
Cigna $64 - $175 72%
Oxford $67 - $140 75%
Elderplan $104 - $152 117%
Vaccn $104 117%
Centers Plan For Healthy Living $108 121%
Centerlight $117 132%
Magnacare $175 197%
Multiplan $187 210%
Local 1199 $199 224%
Villagecare Max $199 224%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 79-01 Broadway, Elmhurst, NY 11373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals