CMS Price Transparency Data

X-ray, foot

Facility: Adventist Health Reedley

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $32
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 0.36x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Adventist Health Reedley is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.36x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.
Cash / Self-Pay
$40

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

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: $40 (45%)
Insurance Median: $32 (36%)
Cash: $40 (45% of Medicare)
Ins. Median: $32 (36% 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
Healthnet Medi-Cal $5 - $144 6%
Blue Shield Mcare $8 - $112 9%
Fhcn Pace Mcr Adv-All Plans $8 - $112 9%
Lasalle Med Assoc Profee Only - All Plans $8 9%
Tricare $8 - $112 9%
UnitedHealthcare $8 - $403 9%
Upn Mcr Adv Profee Only $8 9%
Ah Employee Health Plan - All Plans $9 - $201 10%
Cigna $10 - $623 11%
Community Care Ipa Mcal-All Plans $10 - $45 11%
Blue Shield Epn - All Other Plans $11 - $424 12%
Kaiser - All Other Plans $11 - $480 12%
Kaiser Mcr Adv $11 - $112 12%
Blue Shield Non Epn $12 - $491 13%
Healthnet- All Other Plans $12 - $417 13%
Western Growers/Pinnacle- All Plans $12 - $441 13%
Blue Cross Blue Shield $15 - $194 17%
Bc Mcal $16 - $24 18%
Aetna $21 - $185 24%
Cal Viva Hlth Mcal - All Plans $24 - $35 27%
Central Ca Alliance Mcal Profee Only $24 27%
Dignity Mcal Op/Profee Only-All Other Plans $24 - $38 27%
Medi-Cal $24 - $35 27%
Upn Mcal Profee Only-All Other Plans $24 27%
Physicians Med Group Op/Profee Only- All Plans $26 - $767 29%
Kern Health Systems Mcal-All Plans $30 - $35 34%
Central Ca Alliance Ccs Profee Only $32 - $36 36%
Central Ca Alliance Chdp Profee Only $32 - $48 36%
Central Ca Alliance Comm Profee Only - All Other P $32 - $36 36%
Dignity Mcr Adv Op/Profee Only $112 126%
Healthnet- Mcr Adv $112 126%
Phs Prime Health Srvcs $112 126%
Bright Health Mcr Adv - All Plans $176 198%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 372 W Cypress Ave, Reedley, CA 93654
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals