CMS Price Transparency Data

X-ray, shoulder

Facility: Kingman Regional Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $95
Cash Discount Price: $47
vs. Medicare Baseline: 1.07x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Kingman Regional Medical Center is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.07x the Medicare baseline. Located in 3269 Stockton Hill Road, Kingman, AZ.

Cash / Self-Pay

$47

Average discount available for prompt cash payment at this facility.

Insurance Median

$95

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: $47 (53%)

Insurance Median: $95 (107%)

Cash: $47 (53% of Medicare)

Ins. Median: $95 (107% 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
UnitedHealthcare	$6 - $599	7%
Care 1St Mcr Adv-All Other Plans	$9 - $98	10%
Health Choice Generations	$9 - $93	10%
Hpn Sierra Nevada Mcr Adv	$9 - $93	10%
Humana	$9 - $822	10%
Medicare (plans)	$9 - $93	10%
Triwest - All Plans	$9 - $93	10%
Mercy Care Adv Snp-All Other Plans	$10 - $102	11%
Geo Group Chc Az State Prison-All Plans	$13 - $139	15%
Aetna	$14 - $740	16%
Health Plan Of Nevada-All Other Plans	$14 - $724	16%
Health Choice Hie Exchange	$15 - $960	17%
Multiplan-All Plans	$15 - $960	17%
Health Choice- All Other Plans	$22 - $232	25%
Three Rivers-All Plans	$27 - $1,104	30%
America'S Choice Provider Network-All Plans	$28 - $1,140	31%
Az Foundation-All Plans	$29 - $1,200	33%
Mediversal-All Plans	$29 - $1,200	33%
One Health Plan-All Plans	$29 - $1,200	33%
Universal Health-All Plans	$29 - $1,200	33%
Apipa - Ahcccs-All Other Plans	$37 - $1,200	42%
Care 1St Mcaid	$37 - $1,260	42%
Health Choice Az	$37 - $1,200	42%
Mercy Care Ahcccs Ddd	$41 - $1,320	46%
Blue Cross Blue Shield	$42 - $684	47%
Cigna	$49 - $1,080	55%

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 $47.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73030.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Kingman Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73030.
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.