CMS Price Transparency Data

X-ray, foot

Facility: Sharp Coronado Hospital and Hlthcr Ctr

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $450
Cash Discount Price: $530
vs. Medicare Baseline: 5.06x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Sharp Coronado Hospital and Hlthcr Ctr is $450. 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 5.06x the Medicare baseline. Located in 250 Prospect Place, Coronado, CA.

Cash / Self-Pay

$530

Average discount available for prompt cash payment at this facility.

Insurance Median

$450

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: $450 (506%)

Cash: $530 (596% of Medicare)

Ins. Median: $450 (506% 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 506% of the Medicare baseline (a markup of 406%). 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
Allianz Global Assistance	$198	223%
Blue Cross Blue Shield	$198	223%
Aetna	$210 - $565	236%
Blue Shield	$210	236%
Health Net	$210 - $487	236%
UnitedHealthcare	$240 - $635	270%
Cigna	$277	312%
Molina	$431	485%
Managed Health Network	$448 - $544	504%
Medi-Cal	$450 - $494	506%
Humana	$463	521%
Indian Health Council	$468	526%
San Diego Pace	$487 - $565	548%
California Health And Wellness	$494	556%
Community Health Group	$494	556%
County Medical Services	$530	596%

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 Sharp Coronado Hospital and Hlthcr Ctr 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.