CMS Price Transparency Data

X-ray, foot

Facility: Adventist Health and Rideout

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $840
Cash Discount Price: $265
vs. Medicare Baseline: 9.45x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Adventist Health and Rideout is $840. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $265. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 9.45x the Medicare baseline. Located in 726 4Th St, Marysville, CA.

Cash / Self-Pay

$265

Average discount available for prompt cash payment at this facility.

Insurance Median

$840

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: $265 (298%)

Insurance Median: $840 (945%)

Cash: $265 (298% of Medicare)

Ins. Median: $840 (945% 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 945% of the Medicare baseline (a markup of 845%). 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
Bc Mcal	$13	15%
Kaiser Mcal	$35	39%
Medi-Cal	$35	39%
Ca Health And Wellness- All Plans	$43	48%
Celtic Mcaid-All Plans	$43	48%
Kaiser Mcr Adv	$112	126%
Tricare	$112	126%
UnitedHealthcare	$112 - $1,255	126%
Blue Cross Blue Shield	$113 - $1,113	127%
Healthnet Mcal	$193 - $289	217%
Ah Employee Health Plan - All Plans	$202	227%
Healthnet Comm-All Other Plans	$619 - $929	696%
Aetna	$681 - $1,022	766%
Kaiser-All Other Plans	$732 - $1,098	823%
Blue Shield Uc Care Members	$770 - $1,156	866%
Cigna	$821 - $1,232	923%
First Health-All Plans	$843 - $1,264	948%
Phcs-All Plans	$847 - $1,272	953%
Interplan-All Plans	$867 - $1,300	975%
Blue Shield-All Other Plans	$915 - $1,373	1029%
Multiplan-All Plans	$915 - $1,373	1029%
Partnership Hp Mcal -All Plans	$1,589 - $2,384	1787%

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 $265.
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 Adventist Health and Rideout 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.