CMS Price Transparency Data

X-ray, foot

Facility: Adventist Health Tillamook

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $214
Cash Discount Price: $132
vs. Medicare Baseline: 2.41x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Adventist Health Tillamook is $214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $132. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.41x the Medicare baseline. Located in 1000 Third Street, Tillamook, OR.

Cash / Self-Pay

$132

Average discount available for prompt cash payment at this facility.

Insurance Median

$214

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: $132 (148%)

Insurance Median: $214 (241%)

Cash: $132 (148% of Medicare)

Ins. Median: $214 (241% 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 241% of the Medicare baseline (a markup of 141%). 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
Aetna	$8 - $709	9%
Medicare (plans)	$8 - $358	9%
Moda Health Plan - All Plans	$8 - $358	9%
Sterling Life - All Plans	$8 - $372	9%
UnitedHealthcare	$8 - $724	9%
Blue Cross Blue Shield	$9 - $663	10%
Devoted Health	$9 - $387	10%
Hvhs Mcare - All Plans	$10 - $362	11%
Pacificsource - All Plans	$17 - $732	19%
Ods Health Plan - All Other Plans	$18 - $739	20%
Lifewise - All Plans	$50 - $687	56%
Ah Employee Health Plan - All Plans	$52 - $716	58%
First Choice Health- All Plans	$52 - $716	58%
Health Net - All Plans	$52 - $716	58%
Providence Preferred - All Plans	$54 - $747	61%
Workers Comp	$55 - $762	62%
Cigna	$126 - $724	142%
Phcs Preferred - All Plans	$126 - $724	142%

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 $132.
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 Tillamook 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.