CMS Price Transparency Data

X-ray, foot

Facility: Southwest Healthcare Rancho Springs Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $368
Cash Discount Price: $462
vs. Medicare Baseline: 4.14x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Southwest Healthcare Rancho Springs Hospital is $368. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $462. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.14x the Medicare baseline. Located in 25500 Medical Center Drive, Murrieta, CA.

Cash / Self-Pay

$462

Average discount available for prompt cash payment at this facility.

Insurance Median

$368

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: $462 (520%)

Insurance Median: $368 (414%)

Cash: $462 (520% of Medicare)

Ins. Median: $368 (414% 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 414% of the Medicare baseline (a markup of 314%). 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
Kaiser	$16 - $411	18%
Health_Net	$18 - $474	20%
United_Healthcare	$25 - $132	28%
Heritage	$27 - $530	30%
Iehp	$32	36%
Blue Cross Blue Shield	$38 - $274	43%
Aetna	$107	120%
Cigna	$331 - $497	372%
Primecare	$368 - $552	414%
Palomar	$434 - $651	488%
Rady_Children'S_Hospital	$646 - $970	727%
Multiplan	$831 - $1,246	935%
Sharp_Health_Plan	$831 - $1,246	935%

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 $462.
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 Southwest Healthcare Rancho Springs Hospital 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.