CMS Price Transparency Data

X-ray, foot

Facility: Adventist Health Mendocino Coast

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $212
Cash Discount Price: $140
vs. Medicare Baseline: 2.38x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Adventist Health Mendocino Coast is $212. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $140. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.38x the Medicare baseline. Located in 700 River Drive, Fort Bragg, CA.

Cash / Self-Pay

$140

Average discount available for prompt cash payment at this facility.

Insurance Median

$212

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: $140 (157%)

Insurance Median: $212 (238%)

Cash: $140 (157% of Medicare)

Ins. Median: $212 (238% 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 238% of the Medicare baseline (a markup of 138%). 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
Cigna	$8 - $847	9%
Tricare	$8 - $532	9%
UnitedHealthcare	$8 - $879	9%
Ah Employee Health Plan - All Plans	$9 - $565	10%
Blue Cross Blue Shield	$9 - $138	10%
Blue Shield Epn	$11 - $411	12%
Blue Shield - All Other Plans	$12 - $834	13%
Healthnet - All Plans	$12 - $707	13%
Medi-Cal	$24 - $35	27%
Ahcc - All Plans	$32 - $977	36%
Beech Street - All Plans	$32 - $977	36%
Great West Hmo/Pos/Epo/Oa	$32 - $706	36%
Great West Ppo - All Other Plans	$32 - $760	36%
Multiplan - All Plans	$32 - $760	36%
Partnership Hp Mcal-All Plans	$32 - $104	36%

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 $140.
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 Adventist Health Mendocino Coast 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.