CMS Price Transparency Data

X-ray, foot

Facility: Whittier Hospital Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $134
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Whittier Hospital Medical Center is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.51x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$134

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: $84 (94%)
Insurance Median: $134 (151%)
Cash: $84 (94% of Medicare)
Ins. Median: $134 (151% 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
Blue Cross Blue Shield $7 - $311 8%
Ahmc Medi-Cal Reciprocity Agreement $24 27%
Aids Healthcare Foundation $24 - $110 27%
Allied Physicians $24 - $168 27%
Alta Med Health Network $24 - $110 27%
Altamed Health Services Corporation $24 27%
Beverly Hospital $24 - $123 27%
Brand New Day $24 - $138 27%
Emanate Health $24 - $138 27%
Health Net $24 - $372 27%
Healthy Way La $24 27%
Heritage Provider Network $24 - $151 27%
Kaiser Foundation $24 - $435 27%
La Care Healthy Families/Healthy Kids $24 27%
Non Contracted Medi-Cal $24 27%
Prospect Health Plan $24 - $179 27%
Synermed $24 - $112 27%
Capnet $25 28%
La Care Health Plan $28 - $342 31%
Aetna $34 - $453 38%
Caloptima $34 - $110 38%
Monarch Healthplan $34 38%
Avanti $35 - $134 39%
Care First Health Plan $35 39%
County Of Los Angeles Dept Of Health Services $35 39%
Hollywood Presbyterian Adv Med Mcal $35 39%
Hollywood Presbyterian Medpoint Mcal $35 39%
Medi Caid/ Medi Cal $35 39%
Pacific Independent Physician Association $35 - $187 39%
Applecare Medical Group $37 42%
Physician Healthways $62 70%
Alliance Imaging $75 84%
Veterans Administration $78 88%
Alta Los Angeles Hospitals Inc $110 124%
Apa/Aco Inc $110 124%
Central Health Plan $110 124%
Easy Choice Health Plan $110 124%
Humana $110 124%
Medicare (plans) $110 - $116 124%
Pacificare Of California $110 124%
Scan Health Plan $110 124%
Blue Shield Of California $112 - $311 126%
Caremore $112 126%
Cov19 Hrsa Uninsured Testing And Treatment Fund $112 126%
La Care Covered Direct $112 126%
Pacific Alliance Medical Center $112 126%
Private Pay $112 126%
Self-Pay $112 126%
Tricare $112 126%
Alignment Health Plan $116 130%
Molina Healthcare Of California $116 130%
San Miguel Health Plan $123 138%
UnitedHealthcare $132 - $373 148%
Chinatown Service Center Pace $134 151%
Ahmc Health $140 157%
Knox-Keene Act $140 157%
Molina Medical Center $140 - $243 157%
Fmc Los Angeles County $141 - $466 159%
Interplan Health Group $144 162%
Athens Administrators Ahmc Work Comp $149 168%
Misc 1 $149 168%
Multiplan Wc $149 168%
Physicians Healthways Medical Corporation $156 175%
Ahmc Reciprocity $187 210%
Ahmc Reciprocity Agreement Senior/Commercial $187 210%
Wear And Wood $187 - $249 210%
Cigna $199 224%
Edward Medical Group $218 245%
Central Health Plan Of California $249 280%
Health Net Inc $274 - $404 308%
Allied Physicians Ipa $280 315%
Healthnet $336 - $432 378%
Prospect Medical $342 385%
Care 1St Health Plan $373 420%
New Horizon Medical Group Inc $373 420%
Cost Containment $404 454%
Davita Healthcare Partners $404 454%
Universal Care $404 - $435 454%
Asi/Flex $435 489%
Us Comp Care $435 489%
Value Healthplan Of California $435 489%
Community Care Network $466 524%
Coventry Health Care $466 524%
Coventry Health Care National Network $466 524%
Interplan Corporation $466 524%
Managed Care Administrators $466 524%
Prohealth $466 524%
Multiplan $529 595%
Commercial Non Contract $622 700%
Medi-Cal Sub Acute $622 700%
One Legacy $622 700%
Great-West Healthcare Of California $2,500 2812%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9080 Colima Rd, Whittier, CA 90605
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals