CMS Price Transparency Data

X-ray, foot

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $44
  • Cash Discount Price: $72
  • vs. Medicare Baseline: 0.49x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Cincinnati Children's Hospital Medical Center is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.49x the Medicare baseline. Located in 3333 Burnet Avenue, Cincinnati, OH.
Cash / Self-Pay
$72

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

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: $72 (81%)
Insurance Median: $44 (49%)
Cash: $72 (81% of Medicare)
Ins. Median: $44 (49% 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
Blue Cross Blue Shield $5 - $226 6%
Mhs_In $5 - $21 6%
Aetna $6 - $218 7%
Caresource_In $6 - $22 7%
Humana $6 - $89 7%
Passport_Ky $6 - $60 7%
United_Health_Care_Ky $6 - $61 7%
Wellcare_Ky $6 - $60 7%
Caresource_Oh $11 - $85 12%
Amerihealth_Caritas_Oh $12 - $92 13%
Buckeye_Oh $12 - $97 13%
Molina_Oh $12 - $93 13%
United_Health_Care_Oh $14 - $89 16%
Caresource_Oh_Insurance $25 - $110 28%
Medical_Mutual_Of_Ohio_Insurance $28 - $218 31%
Parkview_Signature_Care_Insurance $32 - $179 36%
Point_Comfort_Insurance $34 - $150 38%
Margaret_Mary_Health_Insurance $35 - $179 39%
United_Health_Care_Insurance $40 - $206 45%
Beechstreet_Insurance $43 - $225 48%
Cigna $43 - $218 48%
Health_Ohio_Network_Insurance $48 - $218 54%
Custom_Design_Benefits_Insurance $50 - $218 56%
Health_Smart_Preferred_Insurance $50 - $218 56%
Medical_Benefit_Administrators_Insurance $50 - $218 56%
Ohio_Health_Choice_Insurance $50 - $218 56%
Private_Health_Care_Systems_Insurance $51 - $221 57%
First_Health_Group_Insurance $52 - $225 58%
Health_Link_Insurance $52 - $225 58%
Evolutions_Health_Care_Systems $53 - $230 60%
Galaxy_Health_Insurance $53 - $230 60%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3333 Burnet Avenue, Cincinnati, OH 45229
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens