CMS Price Transparency Data

X-ray, shoulder

Facility: Adventist Health Hanford

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $112
  • Cash Discount Price: $67
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Adventist Health Hanford is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.26x the Medicare baseline. Located in 115 Mall Drive, Hanford, CA.
Cash / Self-Pay
$67

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: $67 (75%)
Insurance Median: $112 (126%)
Cash: $67 (75% 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.

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 Shield Mcr Adv $9 - $112 10%
Fhcn Pace Mcr Adv-All Plans $9 - $112 10%
Prime Health Mcr Adv- All Plans $9 - $112 10%
Tricare $9 - $112 10%
UnitedHealthcare $9 - $411 10%
Ah Employee Health Plan - All Plans $10 - $201 11%
Central Valley Med Prov Profee Only-All Plans $10 11%
Cigna $11 - $582 12%
Kaiser - All Other Plans $12 - $490 13%
Kaiser Mcr Adv $12 - $112 13%
Blue Shield Epn $13 - $461 15%
Healthnet - All Other Plans $13 - $523 15%
Blue Shield Non-Epn - All Other Plans $14 - $505 16%
Western Growers/Pinnacle- All Plans $14 - $451 16%
Bc Mcal $16 - $26 18%
Blue Cross Blue Shield $16 - $200 18%
Aetna $19 - $356 21%
Healthnet Mcal $26 - $49 29%
Kaiser Mcal $26 - $37 29%
Medi-Cal $26 - $37 29%
Universal Hc Mcal Profee $26 29%
Upn Mcal Profee $26 29%
Valley Childrens - All Plans $36 - $62 40%
Fresno - All Plans $61 69%
Healthnet Mcr Adv $112 126%
Key Medical Mcr Adv $112 126%
Universal Hc Mcr Adv Profee - All Other Plans $112 126%
Upn Mcr Adv Profee - All Other Plans $112 126%
Key Medical Group Commercial - All Other Plans $134 151%
Bright Health Mcr Adv-All Plans $176 198%
Phcs Ppo- All Plans $424 - $637 477%
Community Hlth Ntwork-All Plans $438 - $657 493%
First Health - All Plans $509 - $764 572%
Choicecare- All Plans $535 - $804 602%
Multiplan- All Plans $542 - $813 610%
Interplan- All Plans $549 - $823 617%
Beech Street- All Plans $555 - $833 624%
Preferred Health Network- All Plans $620 - $931 697%
Pacific Health Alliance- All Plans $633 - $951 712%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 115 Mall Drive, Hanford, CA 93230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals