CMS Price Transparency Data

X-ray, foot

Facility: Adventist Health Lodi Memorial

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $50
  • Cash Discount Price: $23
  • vs. Medicare Baseline: 0.56x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Adventist Health Lodi Memorial is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.56x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$23

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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: $23 (26%)
Insurance Median: $50 (56%)
Cash: $23 (26% of Medicare)
Ins. Median: $50 (56% 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
Alignment Health Plan (Ahp)-All Plans $8 - $115 9%
Blue Shield Mcare Adv $8 - $115 9%
Healthnet Mcare $8 - $115 9%
Hp Of San Joaquin Mcr Adv $8 - $115 9%
Humana $8 - $115 9%
Knnex Health - All Plans $8 - $138 9%
Medcore(Omni Ipa) Op Only- All Plans $8 - $547 9%
Tricare $8 - $115 9%
UnitedHealthcare $8 - $873 9%
Ah Employee Health Plan - All Plans $9 - $207 10%
Hp Healthy Kids Pro Fee $9 10%
Blue Shield Epn - All Other Plans $10 - $681 11%
Cigna $10 - $1,893 11%
First Health- All Plans $10 - $1,724 11%
Beech Street- All Plans $11 - $1,893 12%
Blue Shield Non-Epn $11 - $707 12%
Hp Of San Joaquin Ppo - All Other Plans $11 - $1,998 12%
Kaiser Commercial - All Other Plans $11 - $862 12%
Kaiser Mcr Adv $11 - $115 12%
Multiplan- All Plans $11 - $1,682 12%
Networks By Design- All Plans $11 - $1,052 12%
Healthnet- All Other Plans $12 - $1,033 13%
Western Growers- All Plans $12 - $1,893 13%
Blue Cross Blue Shield $15 - $167 17%
Bc Mcal $17 - $24 19%
Celtic Ins Company - All Plans $24 - $39 27%
Kaiser Mcal $24 - $35 27%
Medi-Cal $24 - $35 27%
Hp Mcal Pro Fee $27 30%
Healthnet Mcal $29 - $50 33%
Hp Of San Joaquin Mcal $29 - $43 33%
Three Rivers Provider Network- All Plans $29 - $1,893 33%
Aetna $34 - $277 38%
Cca Health Plan Mcr Adv- All Plans $115 129%
Bright Health - All Plans $230 259%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals