CMS Price Transparency Data

X-ray, foot

Facility: Cook Childrens Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $98
Cash Discount Price: $242
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Cook Childrens Medical Center is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $242. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.10x the Medicare baseline. Located in 801 Seventh Avenue, Fort Worth, TX.

Cash / Self-Pay

$242

Average discount available for prompt cash payment at this facility.

Insurance Median

$98

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: $242 (272%)

Insurance Median: $98 (110%)

Cash: $242 (272% of Medicare)

Ins. Median: $98 (110% 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
Beacon	$15 - $140	17%
Firstcare	$15 - $468	17%
Health Plan W/O Uhrip	$15 - $140	17%
Rightcare	$20 - $196	22%
Health Plan W. Uhrip	$23 - $222	26%
Molina	$23 - $216	26%
El Paso Health First	$27 - $257	30%
Tx Children Health	$27 - $257	30%
Aetna	$31 - $292	35%
UnitedHealthcare	$36 - $497	40%
Blue Cross Blue Shield	$47 - $491	53%
S&W Health	$51 - $491	57%
Cigna	$52 - $497	58%
Healthscope	$52 - $497	58%
Imagine Health	$52 - $497	58%
Humana	$53 - $514	60%
Multiplan	$53 - $509	60%
First Health	$54 - $514	61%
Galaxy Health	$55 - $526	62%
Usamco	$56 - $538	63%

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 $242.
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 Cook Childrens Medical Center 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.