CMS Price Transparency Data

X-ray, foot

Facility: Mayers Memorial Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $242
Cash Discount Price: $290
vs. Medicare Baseline: 2.72x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Mayers Memorial Hospital is $242. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $290. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.72x the Medicare baseline. Located in 43563 Hwy 299 East, Fall River Mills, CA.

Cash / Self-Pay

$290

Average discount available for prompt cash payment at this facility.

Insurance Median

$242

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: $290 (326%)

Insurance Median: $242 (272%)

Cash: $290 (326% of Medicare)

Ins. Median: $242 (272% 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 272% of the Medicare baseline (a markup of 172%). 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
Blue Shield Ca Va	$8 - $186	9%
Blue Shield Mcr Adv	$8 - $186	9%
Health Net Mcr Adv	$8 - $196	9%
Tricare	$8 - $196	9%
Arcadian Health Services-All Plans	$9 - $196	10%
Imperial Health Plan-All Plans	$9 - $222	10%
Medi-Cal	$24 - $35	27%
Partnership Hp-All Plans	$139	156%
Cigna	$167 - $282	188%
Corvel Ppo-All Plans	$167 - $282	188%
Coventry/First Health-All Plans	$167 - $282	188%
Integrated Hp-All Plans	$167 - $282	188%
Interplan-All Plans	$167 - $282	188%
Blue Cross Blue Shield	$189 - $254	213%
Health Net Prison	$204 - $214	229%
Blue Shield Ca Exchange	$242 - $254	272%
Blue Shield-All Other Plans	$269 - $282	303%
Hmn-All Plans	$269 - $282	303%
Multiplan Phcs-All Plans	$269 - $282	303%
Pfmc-All Plans	$269 - $282	303%
Superior Ca-All Plans	$269 - $282	303%
Health Net-All Other Plans	$282 - $296	317%
Pacificare-All Plans	$284 - $297	319%

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 $290.
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 Mayers Memorial 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.