CMS Price Transparency Data

X-ray, foot

Facility: Sisters of Charity Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $26
  • Cash Discount Price: $175
  • vs. Medicare Baseline: 0.29x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Sisters of Charity Hospital is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $175. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.29x the Medicare baseline. Located in 2157 Main Street, Buffalo, NY.
Cash / Self-Pay
$175

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $175 (197%)
Insurance Median: $26 (29%)
Cash: $175 (197% of Medicare)
Ins. Median: $26 (29% 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
UnitedHealthcare $5 - $33 6%
Medicaid / KanCare $6 - $109 7%
Blue Cross Blue Shield $6 - $42 7%
Excellus Rochester McD [350117] $7 - $21 8%
Tuscarora Nation [550120] $7 - $21 8%
Independent Health Essential [100166] $7 - $130 8%
Beacon Essential [350122] $7 - $39 8%
Ghi [100153] $7 - $31 8%
VA Veterans Affairs [700001] $7 - $28 8%
Vna Option Mltc [350110] $7 - $21 8%
Univera Healthcare [100169] $7 - $40 8%
Univera Healthcare Essential [100170] $7 - $28 8%
Crime Victims [100176] $7 - $21 8%
Catholic Health Life Pace [400005] $8 - $33 9%
Fallon Health [450115] $8 - $33 9%
Tricare $8 - $33 9%
Fidelis Dual Advantage [450120] $8 - $34 9%
Hospice [550001] $8 - $37 9%
Champ VA [700002] $8 - $33 9%
Independent Health [100165] $8 - $261 9%
Iha First Choice [800001] $8 - $170 9%
Aetna $8 - $34 9%
Wellcare Fidelis Dual [450451] $8 - $34 9%
Humana $8 - $34 9%
Cigna $8 - $47 9%
Covid19 Hrsa [45013] $8 - $33 9%
Seneca Nation [450119] $8 - $33 9%
Medicare (plans) $8 - $157 9%
Beacon Health Options [100023] $9 - $39 10%
Wellcare [450129] $9 - $36 10%
Fidelis Essential [100163] $9 - $38 10%
Fidelis Exchange [100164] $9 - $56 10%
Mvp Healthcare [100168] $10 - $39 11%
Amerigroup [350102] $12 - $42 13%
UPMC Health Plan [100181] $14 - $59 16%
Molina Essential [100167] $16 - $46 18%
Federal Workers Compensation [500100] $28 - $69 31%
No Fault [114001] $28 - $69 31%
Workers Compensation [500101] $28 - $69 31%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2157 Main Street, Buffalo, NY 14214
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals