CMS Price Transparency Data
X-ray, foot
Facility: Garfield Medical Center
Billing Code: 73630 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73630
- Insurance Median: $204
- Cash Discount Price: $708
- vs. Medicare Baseline: 2.29x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Garfield Medical Center is $204. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $708. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.29x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$708
Average discount available for prompt cash payment at this facility.
Insurance Median
$204
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: $708 (796%)
Insurance Median: $204 (229%)
Cash: $708 (796% of Medicare)
Ins. Median: $204 (229% 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 229% of the Medicare baseline (a markup of 129%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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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 | $8 - $375 | 9% |
| Advantage Care Ipa | $19 - $750 | 21% |
| Physicians Healthways Medical Corporation | $19 - $750 | 21% |
| Ahmc Healthcare Inc | $24 - $225 | 27% |
| Allied Physicians | $24 - $168 | 27% |
| Beverly Hospital | $24 - $123 | 27% |
| Brand New Day | $24 - $140 | 27% |
| Care 1St Mcl/Gar Cap Reciprocity | $24 | 27% |
| Community Health Plan | $24 | 27% |
| Emanate Health | $24 - $140 | 27% |
| Health Net | $24 - $630 | 27% |
| Healthy Way La | $24 | 27% |
| La Care Health Plan | $24 - $412 | 27% |
| Other Non-Contracting Medi-Cal | $24 | 27% |
| Physicians Healthways Medi-Cal | $24 - $750 | 27% |
| Aetna | $35 - $546 | 39% |
| Aids Health Foundation | $35 - $110 | 39% |
| Avanti | $35 - $134 | 39% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $35 | 39% |
| Hollywood Presbyterian Medpoint Mcal | $35 | 39% |
| State Of California Medi-Cal | $35 | 39% |
| Physician Healthways Medical Corporation | $40 | 45% |
| Caloptima Direct | $51 | 57% |
| Pacific Independent Physician Association | $53 - $120 | 60% |
| Access Ipa Ancillary | $67 - $225 | 75% |
| Associated Hispanic Phys Of So Cal | $67 - $150 | 75% |
| Care First Health Plan | $67 - $75 | 75% |
| UnitedHealthcare | $67 - $450 | 75% |
| Veterans Administration | $78 | 88% |
| Apa Aco Inc | $110 | 124% |
| Blue Shield | $110 - $223 | 124% |
| Central Health Plan | $110 - $300 | 124% |
| Cms | $110 | 124% |
| Easy Choice Health Plan | $110 | 124% |
| Humana | $110 | 124% |
| Non-Contract Medi-Care | $110 | 124% |
| Pacific Alliance Medical Center Comm/Sr | $110 | 124% |
| Blue Shield Of California | $112 - $375 | 126% |
| Cv-19 Hrsa Uninsured Testing And Tx | $112 | 126% |
| First Health Network | $112 - $525 | 126% |
| La Care Covered Direct | $112 | 126% |
| Scan Health Plan Sr Hmo | $112 | 126% |
| Self-Pay | $112 | 126% |
| Ucla Impact Dept Of Uncology | $112 | 126% |
| Alignment Health Plan | $116 | 130% |
| Molina Healthcare | $116 | 130% |
| Molina Healthcare Of California | $116 - $140 | 130% |
| Inter Valley Health Plan | $118 | 133% |
| National Disaster Medical System | $123 | 138% |
| San Miguel Health Plan | $123 | 138% |
| Pacificare Of California Inc | $132 | 148% |
| Pacificare Ppo | $132 | 148% |
| Employee Health Systems Mg | $133 - $150 | 150% |
| Chinatown Service Center Pace | $134 | 151% |
| Ahmc Health Epo | $140 | 157% |
| Knox-Keene Act | $140 | 157% |
| Preferred Health Network | $141 | 159% |
| Interplan | $144 - $562 | 162% |
| Athens Administrators | $149 | 168% |
| Multiplan | $149 - $638 | 168% |
| Other Non-Contracted Workers Compensation | $149 | 168% |
| Health Net Comm/Hmo | $178 - $412 | 200% |
| Health Net Inc | $182 | 205% |
| Cigna | $199 | 224% |
| Family Health Alliance | $200 - $225 | 225% |
| Allied Physicians Risk Pool | $233 - $262 | 262% |
| Allied Physicians Risk Pool Agreement | $233 - $262 | 262% |
| Healthnet Medi Cal Cap | $233 - $262 | 262% |
| Pipa Risk Pool Agreement | $233 - $262 | 262% |
| Molina Medical Group | $260 - $292 | 292% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $266 - $300 | 299% |
| Health Net Foundation M Cal (Family Health Alliance) | $266 - $300 | 299% |
| Phys Assoc Of San Gab Valley | $266 - $300 | 299% |
| Allied Physicians Med Grp | $333 - $375 | 375% |
| Alhambra Hospital | $400 - $450 | 450% |
| Care 1St Health Plan | $400 - $450 | 450% |
| One Health Plan | $466 - $525 | 524% |
| Fmc Los Angeles Co Epo | $500 - $562 | 562% |
| Corvel Corporation | $533 - $600 | 599% |
| Americas Health Plan | $566 - $638 | 637% |
| Health Payors Organization | $599 - $675 | 674% |
| East La Reg Ctr | $666 - $750 | 749% |
| Non Contract Commercial | $666 - $750 | 749% |
| One Legacy | $666 - $750 | 749% |
| Private Pay | $666 - $750 | 749% |