CMS Price Transparency Data
X-ray, foot
Facility: San Gabriel Valley Medical Center
Billing Code: 73630 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73630
- Insurance Median: $112
- Cash Discount Price: $116
- vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at San Gabriel Valley Medical Center is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.26x the Medicare baseline. Located in 438 W Las Tunas Drive, San Gabriel, CA.
Cash / Self-Pay
$116
Average discount available for prompt cash payment at this facility.
Insurance Median
$112
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: $116 (130%)
Insurance Median: $112 (126%)
Cash: $116 (130% of Medicare)
Ins. Median: $112 (126% 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.
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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 | $8 - $479 | 9% |
| Ahmc Medi-Cal Reciprocity | $17 - $24 | 19% |
| Allied Physicians | $17 - $168 | 19% |
| Altamed Health Network | $17 - $110 | 19% |
| Beverly Hospital | $17 - $123 | 19% |
| Brand New Day | $17 - $140 | 19% |
| Emanate Health | $17 - $140 | 19% |
| Healthnet Medi-Cal Non-Contract | $17 - $24 | 19% |
| Non Contracting Medi Cal | $17 - $24 | 19% |
| La Care Health Plan | $20 - $112 | 22% |
| Care 1St Health Plan | $24 - $251 | 27% |
| Aids Healthcare Foundation | $25 - $154 | 28% |
| Avanti | $25 - $134 | 28% |
| Healthy Way La | $25 - $35 | 28% |
| Hollywood Presbyterian Adv Med Mcal | $25 - $35 | 28% |
| Hollywood Presbyterian Medpoint Mcal | $25 - $35 | 28% |
| Medicaid / KanCare | $25 - $35 | 28% |
| Physicians Healthways | $25 - $112 | 28% |
| Aetna | $35 - $162 | 39% |
| Private Pay | $44 | 49% |
| Veterans Administration | $78 | 88% |
| Alignment Health Plan | $110 | 124% |
| Apa/Aco Inc | $110 | 124% |
| Blue Shield Of California | $110 - $223 | 124% |
| Central Health Plan | $110 - $232 | 124% |
| Health Net | $110 - $314 | 124% |
| Health Net Inc | $110 - $261 | 124% |
| Humana | $110 | 124% |
| Medicare (plans) | $110 - $116 | 124% |
| Molina Healthcare Of California | $110 - $151 | 124% |
| Pacific Alliance Medical Center | $110 | 124% |
| Pacificare Of California | $110 - $126 | 124% |
| Providence Health Network | $110 | 124% |
| Tricare | $110 | 124% |
| Wellcare | $110 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx | $112 | 126% |
| Inter Valley Health Plan | $112 | 126% |
| Self-Pay | $112 | 126% |
| St Vincent Medical Center/Psych | $112 | 126% |
| Ahmc Reciprocity | $116 | 130% |
| Chinatown Service Center Pace | $132 | 148% |
| UnitedHealthcare | $132 - $330 | 148% |
| Alignment Healthplan | $135 | 152% |
| Clever Care | $135 | 152% |
| Ahmc Health Self-Insurance Epo | $140 | 157% |
| Knox-Keene Act | $140 | 157% |
| Athens Administrators | $149 | 168% |
| Beech Street | $149 - $309 | 168% |
| Other Non Contracting Workers Comp | $149 | 168% |
| Pacific Independent Physician Associates | $154 | 173% |
| Facey Medical | $193 | 217% |
| Cigna | $199 | 224% |
| Community Care Network | $251 | 282% |
| Choicecare Network | $270 | 304% |
| Private Healthcare Systems (Phcs) | $270 | 304% |
| Affiliated Health Fund | $290 | 326% |
| Multiplan | $347 | 390% |
| Ppo Next | $347 | 390% |
| Managed Health Network | $386 | 434% |
| Medi-Cal Sub Acute | $386 | 434% |
| One Legacy | $386 | 434% |
| Other Non Contracted Commercial | $386 | 434% |
| Us Behavioral Health Plan | $386 | 434% |