CMS Price Transparency Data

X-ray, shoulder

Facility: Oroville Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $87
Cash Discount Price: $144
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Oroville Hospital is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $144. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.98x the Medicare baseline. Located in 2767 Olive Highway, Oroville, CA.

Cash / Self-Pay

$144

Average discount available for prompt cash payment at this facility.

Insurance Median

$87

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: $144 (162%)

Insurance Median: $87 (98%)

Cash: $144 (162% of Medicare)

Ins. Median: $87 (98% 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
Blue Cross Blue Shield	$8 - $867	9%
Butte County	$11 - $274	12%
Cigna	$25 - $630	28%
Coventry Health Care	$25 - $630	28%
Health Net	$25 - $630	28%
Multiplan	$25 - $630	28%
Interplan	$26 - $670	29%
Three Rivers Provider Network	$26 - $670	29%
UnitedHealthcare	$26 - $670	29%
Beech Street	$28 - $709	31%
Healthstar	$28 - $709	31%
Health Payors Organization	$29 - $749	33%
Blue Shield Of California	$30 - $764	34%
Blue Shield Value Network	$85	96%
Aetna	$87	98%
Community Care	$87	98%
Nivano Physicians Inc	$87	98%
River City Medical Group	$95	107%
Partnership Healthplan Of California	$143	161%

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 $144.
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 Oroville 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.