CMS Price Transparency Data

X-ray, foot

Facility: Scripps Memorial Hospital - Encinitas

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $287
Cash Discount Price: $284
vs. Medicare Baseline: 3.23x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Scripps Memorial Hospital - Encinitas is $287. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $284. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.23x the Medicare baseline. Located in 354 Santa Fe Drive, Encinitas, CA.

Cash / Self-Pay

$284

Average discount available for prompt cash payment at this facility.

Insurance Median

$287

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: $284 (319%)

Insurance Median: $287 (323%)

Cash: $284 (319% of Medicare)

Ins. Median: $287 (323% 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 323% of the Medicare baseline (a markup of 223%). 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
Aetna	$31 - $686	35%
UnitedHealthcare	$31 - $476	35%
Radys Cpmg [803]	$73 - $109	82%
Astiva Mcr Adv [464]	$112	126%
Bc Mcr Adv [830]	$112	126%
Blue Cross Blue Shield	$112 - $359	126%
Bs Mcr Adv [829]	$112	126%
Central Health Mcr Adv [441]	$112	126%
Cigna	$112 - $538	126%
Clever Care Mcr Adv [465]	$112	126%
D-Snp Mcr Adv [889]	$112	126%
Dsnp/Csnp - Generic [458]	$112	126%
Family Health Centers Pace Mcr Adv Hmo [556]	$112	126%
Family Health Centers Pace Medi-Cal [555]	$112	126%
Gary And Mary West Pace Medi-Cal Hmo [557]	$112	126%
Gpmg/Altura - Mcr Adv [888]	$112	126%
Hn Mcr Adv [832]	$112	126%
Humana	$112	126%
Integrated Health Partners - Mcr Adv [895]	$112	126%
Kaiser Northern Ca Region Mcr Adv [386]	$112	126%
La Care Mcr Adv Hmo [612]	$112	126%
Medicare (plans)	$112	126%
Mpmg Mcr Adv [836]	$112	126%
Mpmg [800]	$112	126%
Ocn Mcr Adv [890]	$112	126%
San Diego Pace Medi-Cal [553]	$112	126%
Scan Mcr Adv [835]	$112	126%
Scan [500]	$112	126%
Scan [818]	$112	126%
Sharp Comm Med Grp Mcr Adv [840]	$112	126%
Sharp Health Plan Mcr Adv [531]	$112	126%
Sharp Health Plan Mcr Adv [897]	$112	126%
Sharp Rees Stealy Med Grp Mcr Adv [841]	$112	126%
St Paul'S Pace Medi-Cal [551]	$112	126%
Ucsd Mcr Adv [873]	$112	126%
Uh Mcr Adv [831]	$112	126%
Uh Palomar Health Mcr Adv [885]	$112	126%
Alignment Health Plan [443]	$115	129%
Mc Alignment [917]	$136 - $218	153%
Mc Blue Shield Promise Health Plan [914]	$136 - $218	153%
Mc Blue Shield [902]	$136 - $218	153%
Mc Health Net [904]	$136 - $218	153%
Mc Scan [905]	$136 - $218	153%
Mc United [906]	$136 - $218	153%
Health Net [340]	$178 - $457	200%
Prime Healthcare [614]	$190	214%
Prospect Med Group [893]	$196	220%
Bc [814]	$200 - $301	225%
Imperial County Phys Med Group [855]	$200 - $464	225%
Integrated Health Partners [894]	$200 - $301	225%
Perlman Med Group [899]	$200 - $301	225%
Sharp Comm Med Grp [812]	$200 - $618	225%
Sharp Rees Stealy Med Grp [811]	$200 - $618	225%
Ucsd [807]	$200 - $618	225%
Centivo [581]	$209 - $313	235%
Blue Shield [230]	$298 - $487	335%
Hn [815]	$305 - $457	343%
Bs [816]	$309 - $483	348%
Uh [819]	$318 - $476	358%
Rady Children'S Hospital [825]	$372 - $558	418%
Palomar Health [892]	$412 - $618	463%
Veba Med Grp [813]	$412 - $618	463%
Kaiser Northern Ca Region Hmo/Ppo [384]	$517 - $776	581%
Kaiser [380]	$517 - $776	581%
Kaiser [383]	$517 - $776	581%
Multi Plan Network [470]	$644 - $966	724%
First Health Network [330]	$680 - $1,021	765%
Pnoa [615]	$680 - $1,021	765%
Choice Care Network [270]	$726 - $1,089	817%
Healthsmart [350]	$726 - $1,089	817%

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 $284.
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 Scripps Memorial Hospital - Encinitas 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.