CMS Price Transparency Data

X-ray, foot

Facility: Memorial Hospital for Cancer and Allied Diseases

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $60
Cash Discount Price: $68
vs. Medicare Baseline: 0.67x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Memorial Hospital for Cancer and Allied Diseases is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.67x the Medicare baseline. Located in 1275 York Ave, New York, NY.

Cash / Self-Pay

$68

Average discount available for prompt cash payment at this facility.

Insurance Median

$60

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: $68 (76%)

Insurance Median: $60 (67%)

Cash: $68 (76% of Medicare)

Ins. Median: $60 (67% 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	$9 - $284	10%
Fidelis	$9 - $111	10%
Healthfirst	$9 - $460	10%
Metroplus	$9 - $498	10%
Emblem	$21 - $592	24%
Oxford	$30 - $465	34%
Empire	$32 - $218	36%
Magnacare	$32 - $613	36%
Urn	$35 - $544	39%
6 Degrees Health	$36 - $597	40%
UnitedHealthcare	$37 - $1,198	42%
Cigna	$39 - $584	44%
Multiplan	$40 - $689	45%

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 $68.
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 Memorial Hospital for Cancer and Allied Diseases 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.