CMS Price Transparency Data

X-ray, shoulder

Facility: Oro Valley Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $128
  • Cash Discount Price: $575
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Oro Valley Hospital is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $575. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.44x the Medicare baseline. Located in 1551 East Tangerine Road, Oro Valley, AZ.
Cash / Self-Pay
$575

Average discount available for prompt cash payment at this facility.

Insurance Median
$128

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: $575 (647%)
Insurance Median: $128 (144%)
Cash: $575 (647% of Medicare)
Ins. Median: $128 (144% 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.

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 $34 - $486 38%
Medicaid / KanCare $58 - $93 65%
Magellan $61 - $1,534 69%
Blue Cross Blue Shield $81 - $391 91%
Caremore Health Plan $82 - $91 92%
Cigna $82 - $319 92%
Humana $82 - $91 92%
Medicare (plans) $82 - $91 92%
Scan Health $82 - $91 92%
UnitedHealthcare $82 - $391 92%
Pascua Yaqui Tribe $83 - $92 93%
Clover Health Mcr Adv $84 - $94 94%
Department Of Veterans Affairs $84 - $93 94%
Fresenius Health $84 - $93 94%
Node Non Par Hospice Agree $84 - $93 94%
Node Triwest $84 - $93 94%
Node Va $84 - $93 94%
Tricare $84 - $93 94%
Node Devoted Health Mcr Adv $85 - $94 96%
Node Banner Mcr Adv $86 - $96 97%
Veterans Eval Services $86 - $172 97%
Wellcare Mcr Adv $86 - $96 97%
Node Us Dept Of Labor $104 - $116 117%
Ambetter / Centene $118 - $131 133%
Node Health Choice Exchange $125 - $138 141%
Node Fusion Network $150 - $167 169%
Node J Allen Inmate Health Svcs $159 - $176 179%
Health Net $176 - $195 198%
Seven Corners $192 - $214 216%
Self Pay $307 - $1,074 345%
Beacon Health Options $640 - $1,278 720%
Mtc $640 - $1,278 720%
First Health Coventry $671 - $1,342 755%
Coventry Work Comp Al $767 - $1,534 863%
Multiplan $1,062 - $2,122 1194%
Prime Health $1,087 - $2,173 1223%
Three Rivers $1,087 - $2,173 1223%
Healthsmart $1,151 - $2,301 1295%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1551 East Tangerine Road, Oro Valley, AZ 85755
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals