CMS Price Transparency Data

X-ray, shoulder

Facility: Parkview Community Hospital Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $112
Cash Discount Price: $520
vs. Medicare Baseline: 1.26x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Parkview Community Hospital Medical Center is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $520. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.26x the Medicare baseline. Located in 3865 Jackson Street, Riverside, CA.

Cash / Self-Pay

$520

Average discount available for prompt cash payment at this facility.

Insurance Median

$112

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: $520 (585%)

Insurance Median: $112 (126%)

Cash: $520 (585% of Medicare)

Ins. Median: $112 (126% 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	$37 - $189	42%
Blue Shield	$37 - $174	42%
Health Net	$37 - $297	42%
Medi-Cal	$37	42%
Molina Medi-Cal	$37	42%
Regal	$45 - $260	51%
Iehp	$90 - $143	101%
Central Health Plan	$99	111%
Humana	$108	121%
Alignment	$110	124%
Medicare (plans)	$110	124%
Aetna	$112 - $189	126%
Champus	$112	126%
Molina Covered Ca	$112	126%
Molina Senior	$112	126%
Scan	$112	126%
UnitedHealthcare	$132 - $187	148%
Ahmc	$156	175%
Blue Shield Ppo	$174	196%
Cigna	$331	372%
Self Pay	$520	585%

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 $520.
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 Parkview Community Hospital 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.