CMS Price Transparency Data

X-ray, foot

Facility: Grossmont Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $452
Cash Discount Price: $530
vs. Medicare Baseline: 5.08x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Grossmont Hospital is $452. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $530. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.08x the Medicare baseline. Located in 5555 Grossmont Center Drive Box 58, La Mesa, CA.

Cash / Self-Pay

$530

Average discount available for prompt cash payment at this facility.

Insurance Median

$452

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: $530 (596%)

Insurance Median: $452 (508%)

Cash: $530 (596% of Medicare)

Ins. Median: $452 (508% 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 508% of the Medicare baseline (a markup of 408%). 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
UnitedHealthcare	$106 - $353	119%
Allianz Global Assistance	$210	236%
Health Net	$210 - $565	236%
Interplan	$210 - $626	236%
Molina	$210 - $692	236%
Aetna	$353 - $565	397%
Managed Health Network	$353	397%
Kaiser	$399 - $480	449%
California Health And Wellness	$431	485%
Community Health Group	$431	485%
Indian Health Council	$441	496%
Blue Cross Blue Shield	$463 - $473	521%
Blue Shield	$463 - $494	521%
County Medical Services	$463	521%
Humana	$468 - $494	526%
Medicare (plans)	$487	548%
Cigna	$530	596%
Multiplan	$565	635%

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 $530.
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 Grossmont 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.