CMS Price Transparency Data

X-ray, shoulder

Facility: Oak Valley Hospital District

Billing Code: 73030 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$112

about 1.3× the $89 Medicare rate · typically $77–$112

modeled estimate · not a bill or quote

What this hospital charges insurers

$112

About the fair price

1.3× Medicare

Medicare pays $89 Fair price $112 This hospital $112 Cash price $1,009 Hospital's list price $1,345

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $19 Priciest $112

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a X-ray, shoulder is about $112 (about 1.3× the $89 Medicare rate). Oak Valley Hospital District charges insurers about $112, or about $1,009 in cash — about the fair price. Located in Oakdale, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$753 - $1,130	847%
Blue Cross Blue Shieldmajor	$37 - $1,453	42%
Aetnamajor	$916 - $1,374	1030%
Cignamajor	$721 - $1,081	811%
Humanamajor	$112	126%
Kaiser Permanentemajor	$112 - $1,001	126%
Health Net	$624 - $936	702%
+ 4 smaller / regional plans	$45 - $123

Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,009), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73030.

Insurance Before you use insurance

Call your insurance company to confirm Oak Valley Hospital District is in-network.
Ask your insurer whether prior approval is required for CPT code 73030.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Oak Valley Hospital District

Compare: X-ray, shoulder at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.