CMS Price Transparency Data
X-ray, foot
Facility: Saint Alphonsus Medical Center Ontario
Billing Code: 73630 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73630
- Insurance Median: $110
- Cash Discount Price: $297
- vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Saint Alphonsus Medical Center Ontario is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $297. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.24x the Medicare baseline. Located in 351 Sw 9Th Street, Ontario, OR.
Cash / Self-Pay
$297
Average discount available for prompt cash payment at this facility.
Insurance Median
$110
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: $297 (334%)
Insurance Median: $110 (124%)
Cash: $297 (334% of Medicare)
Ins. Median: $110 (124% 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
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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 |
|---|---|---|
| Medicaid / KanCare | $5 - $165 | 6% |
| Aetna | $6 - $520 | 7% |
| Align Senior Care | $6 | 7% |
| Ally Align Care Adv | $6 | 7% |
| Ambetter / Centene | $6 - $165 | 7% |
| American Health Plan | $6 | 7% |
| Amish Mennonite | $6 - $165 | 7% |
| Aurora Special Needs | $6 | 7% |
| Bcccp-Michigan | $6 - $165 | 7% |
| Bccp | $6 - $165 | 7% |
| Blue Care Network Advantage | $6 | 7% |
| Blue Cross Blue Shield | $6 - $517 | 7% |
| Blue Shield - De (Highmark) Medciare Advantage | $6 | 7% |
| Bmc Healthnet | $6 - $165 | 7% |
| Breast Grant-Connecticut | $6 - $165 | 7% |
| California Health And Wellness | $6 - $165 | 7% |
| Cardinal Innovations Lme | $6 - $165 | 7% |
| Care Dimensions | $6 | 7% |
| Care Improvement Plus | $6 | 7% |
| Care Oregon Ohp | $6 - $165 | 7% |
| Care Resources Pace | $6 | 7% |
| Careplus Health Plans | $6 | 7% |
| Cca - Zing Health | $6 | 7% |
| Cca Senior Care Options | $6 | 7% |
| Cencal Health Plan | $6 - $165 | 7% |
| Cenpatico | $6 - $165 | 7% |
| Central Valley Medical Services Corp Pace | $6 | 7% |
| Champion Health Plan Mcr Advantage | $6 | 7% |
| Chhuny | $6 - $165 | 7% |
| Childrens Comm Health Plan | $6 - $165 | 7% |
| Childrens Medical Services Title 19 | $6 - $165 | 7% |
| Cigna | $6 - $516 | 7% |
| Clear Spring Health | $6 | 7% |
| Clover Health | $6 | 7% |
| Commonwealth Care Alliance | $6 | 7% |
| Community Benefit Health | $6 - $165 | 7% |
| Community Care Behavorial Health | $6 - $165 | 7% |
| Community Health Choice | $6 - $165 | 7% |
| Community Pace At Home | $6 | 7% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $6 - $165 | 7% |
| Dean Wi Badgercare | $6 - $165 | 7% |
| Delaware First Health | $6 - $165 | 7% |
| Delta Dental Nj | $6 - $165 | 7% |
| Dph Tb Program | $6 - $165 | 7% |
| Dscc | $6 - $165 | 7% |
| Eastpointe Lme | $6 - $165 | 7% |
| Eddy Senior Care-Pace | $6 | 7% |
| Eddy Seniorcare Pace | $6 | 7% |
| Elementcare | $6 | 7% |
| Evercare | $6 | 7% |
| Everence | $6 | 7% |
| Family Health Network | $6 - $165 | 7% |
| Freedom First Healthcare | $6 - $165 | 7% |
| Gateway Health Plan | $6 | 7% |
| Genesys Pace Of Genesee County | $6 | 7% |
| Georgia Health Advantage | $6 | 7% |
| Ghc Scw Wi Badgercare | $6 - $165 | 7% |
| Gold Advantage | $6 | 7% |
| Gpa Croell Redi Mix | $6 | 7% |
| Harbor Health | $6 - $165 | 7% |
| Health America Advantra | $6 | 7% |
| Health Safety Net | $6 - $165 | 7% |
| Healthy Blue Ne | $6 - $165 | 7% |
| Hennepin Health | $6 - $165 | 7% |
| Highmark Health Options Dual Plan | $6 | 7% |
| Hope Select Pace | $6 | 7% |
| Horizon Nj Total Care | $6 | 7% |
| Hudson Headwaters Pace | $6 | 7% |
| Humana | $6 - $483 | 7% |
| Huron Valley Pace | $6 | 7% |
| Idaho Womens Health Check | $6 - $165 | 7% |
| Indiana Breast Cervical Cancer | $6 - $165 | 7% |
| Inland Empire Health Plan | $6 - $165 | 7% |
| Innovative Integrated Health Community Plans | $6 | 7% |
| Intercommunity Health Ohp | $6 - $165 | 7% |
| Iowa Health Advantage | $6 | 7% |
| Iowa Total Care | $6 - $165 | 7% |
| Jai Medical System | $6 - $165 | 7% |
| Johns Hopkins Advantage Md | $6 | 7% |
| Kern Family Health Plan | $6 - $165 | 7% |
| Keystone First | $6 - $165 | 7% |
| Keystone First Chip | $6 - $165 | 7% |
| La Care Health Plan | $6 - $165 | 7% |
| Lakeland Care Inc | $6 - $165 | 7% |
| Lasso Healthcare Msa | $6 | 7% |
| Life St Marys Pace | $6 | 7% |
| Lifecircles Pace | $6 | 7% |
| Longevity Health Plan | $6 | 7% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $6 | 7% |
| Managed Health Services - Indiana | $6 - $165 | 7% |
| Martins Point Generations Advantage | $6 | 7% |
| Maryland Breast & Cervical Program | $6 - $165 | 7% |
| Maryland Healthy Smiles - Scion Dental | $6 - $165 | 7% |
| Maryland Physicians Care | $6 - $165 | 7% |
| Mass General Brigham Mcr Adv | $6 | 7% |
| Massachusetts Behavioral Health Partnership | $6 - $165 | 7% |
| Mdwise | $6 - $165 | 7% |
| Medi-Cal | $6 - $165 | 7% |
| Medi-Cal Healthnet | $6 - $165 | 7% |
| Medicare (plans) | $6 - $109 | 7% |
| Medipak Advantage | $6 | 7% |
| Medstar Dc Healthy Family | $6 - $165 | 7% |
| Medstar Md Health Choice | $6 - $165 | 7% |
| Mercy Life | $6 | 7% |
| Mercyone Cedar Valley | $6 | 7% |
| Meridian Complete | $6 | 7% |
| Michigan Complete Health | $6 | 7% |
| Mo Home State Health Plan | $6 - $165 | 7% |
| Molina Centennial Care | $6 - $165 | 7% |
| Nascentia Health Options | $6 - $165 | 7% |
| Nascentia Health Plus | $6 | 7% |
| Nebraska Total Care | $6 - $165 | 7% |
| New Centry Health Careplus | $6 | 7% |
| New York Cancer Services Program | $6 - $165 | 7% |
| Nextlevel Health | $6 - $165 | 7% |
| Oregon Screenwise | $6 - $165 | 7% |
| Osu Prime Care Advantage | $6 | 7% |
| Pace Cny | $6 | 7% |
| Pace Iowa Immanuel Pathways | $6 | 7% |
| Pace Of Southwest Michigan | $6 - $165 | 7% |
| Pace Southeast | $6 | 7% |
| Pace-Trinity Health | $6 | 7% |
| Paramount Advantage | $6 - $165 | 7% |
| Parkland Community Health Plan | $6 - $165 | 7% |
| Partners Behavioral Lme | $6 - $165 | 7% |
| Peach State Healthplan | $6 - $165 | 7% |
| Peak Pace Solutions | $6 | 7% |
| Perennial Advantage | $6 | 7% |
| Preferred Care Partners | $6 | 7% |
| Presbyterian Centennial Care | $6 - $165 | 7% |
| Presbyterian Senior Plan | $6 | 7% |
| Prestige Health Choice | $6 - $165 | 7% |
| Priority Partners | $6 - $165 | 7% |
| Provider Partners Health Plan Of Illinois | $6 | 7% |
| Provider Partners Health Plan Of Indiana | $6 | 7% |
| Pruitthealth Premier | $6 | 7% |
| Reliance Community Care Partners Care Resources Pace | $6 | 7% |
| Rx 340B Pass Along | $6 - $165 | 7% |
| Rx Allwin | $6 | 7% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $6 - $165 | 7% |
| Rx Grane Grnmedd | $6 | 7% |
| Rx Medi-Cal | $6 - $165 | 7% |
| Rx Meridian Rx | $6 - $165 | 7% |
| Rx Retiree Rx Care | $6 | 7% |
| Sandhills Center Lme | $6 - $165 | 7% |
| Scan Health Plan Mcr Ipa Meritage Oon | $6 | 7% |
| Screening For Life | $6 - $165 | 7% |
| Secure Horizons Ma Pffs | $6 | 7% |
| Serenity Pace | $6 | 7% |
| Siouxland Pace | $6 | 7% |
| Solis Health Plans | $6 | 7% |
| Sunnyview-Pace Finance Dept | $6 | 7% |
| Sunshine State Health Plan | $6 - $165 | 7% |
| Superior Health | $6 - $165 | 7% |
| Tenncare | $6 - $165 | 7% |
| Texan Plus | $6 | 7% |
| Texas Children'S Health Plan | $6 - $165 | 7% |
| The Health Plan | $6 | 7% |
| Thome Pace | $6 | 7% |
| Todays Options | $6 | 7% |
| Tribute Health Plans | $6 | 7% |
| Trillium Community Ohp | $6 - $165 | 7% |
| Tufts Health Public Plans | $6 - $165 | 7% |
| Um Health Advantage | $6 | 7% |
| Union Health Service | $6 | 7% |
| UnitedHealthcare | $6 - $527 | 7% |
| Vaya Health Lme | $6 - $165 | 7% |
| Welbe Health | $6 | 7% |
| Wellmed | $6 | 7% |
| Wellsense Health Plan | $6 - $165 | 7% |
| Wi Womens Wellness | $6 - $165 | 7% |
| American Health Advantage Of Idaho | $7 - $106 | 8% |
| Pacificsource Health Plans | $44 - $516 | 49% |
| Selecthealth | $54 - $494 | 61% |
| Ada County Jail Inmate Ins | $110 - $165 | 124% |
| Centurion Of Idaho | $110 - $165 | 124% |
| Id County Ada | $110 - $165 | 124% |
| Id County Canyon | $110 - $165 | 124% |
| Id County Cat Fund | $110 - $165 | 124% |
| Id County Payette | $110 - $165 | 124% |
| Moda Health | $201 - $533 | 226% |
| Mountain Health Co-Op | $220 - $329 | 247% |
| Healthcare Management Admin | $228 - $457 | 256% |
| Blue Benefit Administrators Of Massachusetts | $258 - $517 | 290% |
| Blue Care Network | $258 - $517 | 290% |
| Blue Distinction Transplant | $258 - $517 | 290% |
| Blue Shield - Ca | $258 - $517 | 290% |
| Blue Shield - Id (Regence) | $258 - $517 | 290% |
| Blue Shield - Ny Highmark Northeastern | $258 - $517 | 290% |
| Blue Shield - Ny Highmark Western | $258 - $517 | 290% |
| Blue Shield - Pa (Highmark) | $258 - $517 | 290% |
| Blue Shield - Wa (Regence) | $258 - $517 | 290% |
| Webtpa | $274 - $494 | 308% |
| Allegiance | $278 - $417 | 313% |
| Correctional Health Partners | $285 - $428 | 321% |
| Columbia Health Network | $293 - $439 | 330% |
| Healthnet | $307 - $461 | 345% |
| Allied National Global Care | $329 - $494 | 370% |
| Asrm - Reliance Standard Life Insurance | $329 - $494 | 370% |
| Christian Care Ministry | $329 - $494 | 370% |
| Dean Health | $329 - $494 | 370% |
| Fallon Health | $329 - $494 | 370% |
| Family Life Insurance Company | $329 - $494 | 370% |
| First Choice Health | $329 - $494 | 370% |
| Ghc Scw | $329 - $494 | 370% |
| International Benefit Administrators | $329 - $494 | 370% |
| Lifetime Benefit Solutions | $329 - $494 | 370% |
| Manhattan Life | $329 - $494 | 370% |
| Pai | $329 - $494 | 370% |
| Pan-American Life | $329 - $494 | 370% |
| Paramount Hmo | $329 - $494 | 370% |
| Phcs | $329 - $494 | 370% |
| Trinity Health Share | $329 - $494 | 370% |
| Lifewise | $340 - $511 | 382% |
| Priority Health | $344 - $516 | 387% |
| Allied Benefit Systems | $347 - $520 | 390% |
| Ameriben | $347 - $520 | 390% |
| Asr Health Benefits | $347 - $520 | 390% |
| Christian Brother Services | $347 - $520 | 390% |
| Geha | $347 - $527 | 390% |
| Healthez | $347 - $520 | 390% |
| Luminare Health (Detroit) | $347 - $520 | 390% |
| Rural Carrier Health Benefit Plan | $347 - $520 | 390% |
| First Health | $348 - $522 | 391% |
| Medi Share | $348 - $522 | 391% |
| Providence | $348 - $522 | 391% |