CMS Price Transparency Data

X-ray, foot

Facility: Adventist Health Simi Valley

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $124
  • Cash Discount Price: $82
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Adventist Health Simi Valley is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.39x the Medicare baseline. Located in 2975 N Sycamore Dr, Simi Valley, CA.
Cash / Self-Pay
$82

Average discount available for prompt cash payment at this facility.

Insurance Median
$124

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: $82 (92%)
Insurance Median: $124 (139%)
Cash: $82 (92% of Medicare)
Ins. Median: $124 (139% 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
Vchcp - All Plans $14 - $581 16%
Hpn Senior Hmo $15 - $605 17%
UnitedHealthcare $15 - $603 17%
Western Growers - All Plans $15 - $610 17%
Blue Shield - All Other Plans $16 - $666 18%
Hpn - All Other Plans $18 - $729 20%
Kaiser - All Plans $18 - $726 20%
Aetna $19 - $799 21%
Scan Mcr Adv - All Plans $21 - $871 24%
First Health - All Plans $23 - $944 26%
Phcs Ppo - All Plans $23 - $944 26%
Beech Street Ppo - All Plans $26 - $1,089 29%
Choicecare Ppo - All Plans $26 - $1,089 29%
Health Net - All Plans $26 - $1,095 29%
Corvel Corp - All Plans $28 - $1,162 31%
Interplan Ppo - All Plans $28 - $1,162 31%
Multiplan Ppo - All Plans $29 - $1,205 33%
Ahf - All Plans $30 - $1,234 34%
Hmn Ppo/Epo - All Plans $30 - $1,234 34%
Trpn Ppo - All Plans $30 - $1,234 34%
Fpn Ppo - All Plans $32 - $1,307 36%
Gold Coast Mcal - All Plans $35 - $43 39%
Ehn - All Plans $50 56%
Blue Shield Mcare $112 126%
Facey Medical Mdcare $112 126%
Medicare (plans) $112 126%
Tricare $112 126%
Bc Exchange $123 138%
Facey Medical Hmo/Pos - All Other Plans $134 151%
Bc Non Mcs $136 153%
Bc Mcs - All Other Plans $164 184%
Ah Employee Health Plan - All Plans $201 226%
Centivo - All Plans $252 283%
Cigna $293 330%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2975 N Sycamore Dr, Simi Valley, CA 93065
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals