CMS Price Transparency Data

X-ray, foot

Facility: Shriners Hospitals for Children Northern Calif

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $53
Cash Discount Price: $460
vs. Medicare Baseline: 0.60x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Shriners Hospitals for Children Northern Calif is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $460. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.60x the Medicare baseline. Located in 2425 Stockton Boulevard, Sacramento, CA.

Cash / Self-Pay

$460

Average discount available for prompt cash payment at this facility.

Insurance Median

$53

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: $460 (517%)

Insurance Median: $53 (60%)

Cash: $460 (517% of Medicare)

Ins. Median: $53 (60% 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.

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
Ambetter / Centene	$21 - $130	24%
Amerigroup Nv	$22 - $30	25%
Blue Cross Blue Shield	$23 - $35	26%
Health Plan Of Nv	$25 - $34	28%
Soonercare	$28	31%
Aetna	$35 - $113	39%
Central California Alliance For Health	$35	39%
Health Plan Of San Joaquin	$35	39%
Kaiser Permanente	$35 - $100	39%
Molina Healthcare Of Ca	$35	39%
Partnership Healthplan Of Ca	$35	39%
Providence Health Plan	$46	52%
Medicaid / KanCare	$74	83%
Cigna	$75	84%
UnitedHealthcare	$80	90%
Molina Healthcare Of Ms	$85	96%
Amerihealth Caritas Nc	$98	110%
Amerihealth Caritas Sc	$98	110%
Caresource Of Oh	$98	110%
Northbay Healthcare	$113	127%
Sana Benefits	$119 - $158	134%
Sutter Medical Foundation	$124	139%
Health Net Of Ca	$130	146%
Healthchoice Of Oklahoma	$176	198%

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 $460.
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 Shriners Hospitals for Children Northern Calif 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.