CMS Price Transparency Data

X-ray, foot

Facility: NYU Langone Hospitals

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $115
Cash Discount Price: $80
vs. Medicare Baseline: 1.29x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at NYU Langone Hospitals is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.29x the Medicare baseline. Located in 550 First Avenue, New York, NY.

Cash / Self-Pay

$80

Average discount available for prompt cash payment at this facility.

Insurance Median

$115

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: $80 (90%)

Insurance Median: $115 (129%)

Cash: $80 (90% of Medicare)

Ins. Median: $115 (129% 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
Fidelis	$27 - $214	30%
Healthfirst	$27 - $214	30%
Healthplus	$27 - $214	30%
1199	$28	31%
Hip	$51 - $285	57%
Medicaid / KanCare	$51 - $95	57%
Metroplus	$51 - $214	57%
UnitedHealthcare	$51 - $226	57%
Somos	$54 - $129	61%
Ghi	$57 - $285	64%
Cigna	$63	71%
Amida	$102 - $105	115%
Medicare (plans)	$104	117%
Wellcare	$104	117%
Centerlight	$106	119%
Aetna	$148 - $453	166%
Hamaspik	$156	175%
Blue Cross Blue Shield	$173 - $216	195%
Magnacare	$195 - $309	219%
Oxford	$223	251%
Multiplan	$305 - $353	343%

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 $80.
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 NYU Langone Hospitals 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.