CMS Price Transparency Data

X-ray, foot

Facility: Nationwide Children's Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $254
Cash Discount Price: $243
vs. Medicare Baseline: 2.86x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Nationwide Children's Hospital is $254. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $243. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.86x the Medicare baseline. Located in 700 Children's Drive, Columbus, OH.

Cash / Self-Pay

$243

Average discount available for prompt cash payment at this facility.

Insurance Median

$254

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: $243 (273%)

Insurance Median: $254 (286%)

Cash: $243 (273% of Medicare)

Ins. Median: $254 (286% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 286% of the Medicare baseline (a markup of 186%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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 - $456	10%
Caresource	$12 - $133	13%
Humana	$19 - $456	21%
Ohio Ppo Connect	$23 - $446	26%
Osu	$23 - $446	26%
UnitedHealthcare	$23 - $456	26%
Blue Cross Blue Shield	$27 - $451	30%
Tricare	$28	31%
Mmo	$29 - $451	33%
Cigna	$30 - $451	34%
Front Path Health Coalition	$30 - $451	34%
Ohc	$30 - $446	34%
Ohg	$30 - $432	34%
The Health Plan	$30 - $461	34%
Amerihealth	$87	98%
Bchp	$87	98%
Molina	$87	98%
Ahpo	$254 - $451	286%
Unicare	$256 - $456	288%
Emerald Health	$265 - $470	298%
First Health	$265 - $470	298%
Phcs	$265 - $470	298%

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 $243.
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 Nationwide Children's Hospital 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.