CMS Price Transparency Data

X-ray, shoulder

Facility: Riverside Community Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $484
Cash Discount Price: $2,422
vs. Medicare Baseline: 5.44x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Riverside Community Hospital is $484. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,422. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.44x the Medicare baseline. Located in 4445 Magnolia Avenue, Riverside, CA.

Cash / Self-Pay

$2,422

Average discount available for prompt cash payment at this facility.

Insurance Median

$484

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: $2,422 (2724%)

Insurance Median: $484 (544%)

Cash: $2,422 (2724% of Medicare)

Ins. Median: $484 (544% 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 544% of the Medicare baseline (a markup of 444%). 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
La Care Health	$26	29%
Molina	$26	29%
Brand New Day	$28	31%
Inland Empire Health Plan	$37	42%
Blue Cross Blue Shield	$45 - $195	51%
Blue Shield	$88 - $141	99%
United	$182 - $849	205%
Medcare Partners	$242 - $484	272%
Aetna	$291 - $581	327%
Cigna	$350	394%
Health Net	$360 - $720	405%
Redlands Community	$484 - $969	544%
First Health	$710 - $2,906	799%
American Health System	$727 - $1,453	818%
Healthsmart	$1,292 - $2,583	1453%
Multiplan	$1,292 - $2,745	1453%
Next	$1,292 - $2,583	1453%

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 $2,422.
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 Riverside Community Hospital 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.