CMS Price Transparency Data

X-ray, foot

Facility: Loma Linda University Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $220
Cash Discount Price: $494
vs. Medicare Baseline: 2.47x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Loma Linda University Medical Center is $220. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $494. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.47x the Medicare baseline. Located in 11234 Anderson St, Loma Linda, CA.

Cash / Self-Pay

$494

Average discount available for prompt cash payment at this facility.

Insurance Median

$220

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: $494 (556%)

Insurance Median: $220 (247%)

Cash: $494 (556% of Medicare)

Ins. Median: $220 (247% 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 247% of the Medicare baseline (a markup of 147%). 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
Blue Cross Blue Shield	$22 - $110	25%
Inland Empire Health Plan (Iehp)	$42 - $112	47%
Kaiser Foundation Hospitals	$46 - $732	52%
Adventist Health	$112 - $220	126%
Alpha Care Medical Group	$112 - $168	126%
Dignity Health	$112 - $168	126%
Epic Health Plan	$112 - $439	126%
UnitedHealthcare	$112 - $115	126%
Upland Medical Group	$112	126%
Vantage Medical Group	$112 - $168	126%
Prime Health Services	$119 - $933	134%
Riverside University Health System	$123	138%
Molina Healthcare Of Ca	$150	169%
Heritage Provider Network	$183	206%
Lluh Dept Of Risk Management	$220	247%
Blue Shield Of California	$436 - $666	490%
Global Benefits Group	$659	741%
Temecula Valley Physicians Medical Group	$659	741%
Trivalley Medical Group	$659	741%
Aetna	$667	750%
Cigna	$703 - $813	791%
Networks By Design	$714	803%
Multiplan	$824	927%
Central Health Plan	$878	988%
Galaxy Health	$933	1049%
Health Management Network	$988	1111%

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 $494.
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 Loma Linda University Medical Center 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.