CMS Price Transparency Data
X-ray, shoulder
Facility: San Gabriel Valley Medical Center
Billing Code: 73030 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73030
- Insurance Median: $130
- Cash Discount Price: $130
- vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at San Gabriel Valley Medical Center is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $130. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.46x the Medicare baseline. Located in 438 W Las Tunas Drive, San Gabriel, CA.
Cash / Self-Pay
$130
Average discount available for prompt cash payment at this facility.
Insurance Median
$130
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: $130 (146%)
Insurance Median: $130 (146%)
Cash: $130 (146% of Medicare)
Ins. Median: $130 (146% 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
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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 - $479 | 9% |
| Ahmc Medi-Cal Reciprocity | $26 | 29% |
| Allied Physicians | $26 - $168 | 29% |
| Altamed Health Network | $26 - $110 | 29% |
| Beverly Hospital | $26 - $123 | 29% |
| Brand New Day | $26 - $152 | 29% |
| Emanate Health | $26 - $140 | 29% |
| Healthnet Medi-Cal Non-Contract | $26 | 29% |
| Non Contracting Medi Cal | $26 | 29% |
| La Care Health Plan | $30 - $112 | 34% |
| Aetna | $31 - $162 | 35% |
| Care 1St Health Plan | $36 - $281 | 40% |
| Aids Healthcare Foundation | $37 - $173 | 42% |
| Avanti | $37 - $134 | 42% |
| Healthy Way La | $37 | 42% |
| Hollywood Presbyterian Adv Med Mcal | $37 | 42% |
| Hollywood Presbyterian Medpoint Mcal | $37 | 42% |
| Medicaid / KanCare | $37 | 42% |
| Physicians Healthways | $37 - $112 | 42% |
| Private Pay | $48 | 54% |
| Veterans Administration | $78 | 88% |
| Alignment Health Plan | $110 | 124% |
| Apa/Aco Inc | $110 | 124% |
| Blue Shield Of California | $110 - $246 | 124% |
| Central Health Plan | $110 - $260 | 124% |
| Health Net | $110 - $314 | 124% |
| Health Net Inc | $110 - $261 | 124% |
| Humana | $110 | 124% |
| Medicare (plans) | $110 - $116 | 124% |
| Molina Healthcare Of California | $110 - $169 | 124% |
| Pacific Alliance Medical Center | $110 | 124% |
| Pacificare Of California | $110 - $142 | 124% |
| Providence Health Network | $110 | 124% |
| Tricare | $110 | 124% |
| Wellcare | $110 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx | $112 | 126% |
| Inter Valley Health Plan | $112 | 126% |
| Self-Pay | $112 | 126% |
| St Vincent Medical Center/Psych | $112 | 126% |
| Ahmc Reciprocity | $130 | 146% |
| Chinatown Service Center Pace | $132 | 148% |
| UnitedHealthcare | $132 - $330 | 148% |
| Ahmc Health Self-Insurance Epo | $140 | 157% |
| Knox-Keene Act | $140 | 157% |
| Athens Administrators | $149 | 168% |
| Beech Street | $149 - $346 | 168% |
| Other Non Contracting Workers Comp | $149 | 168% |
| Alignment Healthplan | $152 | 171% |
| Clever Care | $152 | 171% |
| Pacific Independent Physician Associates | $173 | 195% |
| Cigna | $199 | 224% |
| Facey Medical | $216 | 243% |
| Community Care Network | $281 | 316% |
| Choicecare Network | $303 | 341% |
| Private Healthcare Systems (Phcs) | $303 | 341% |
| Affiliated Health Fund | $325 | 366% |
| Multiplan | $390 | 439% |
| Ppo Next | $390 | 439% |
| Managed Health Network | $433 | 487% |
| Medi-Cal Sub Acute | $433 | 487% |
| One Legacy | $433 | 487% |
| Other Non Contracted Commercial | $433 | 487% |
| Us Behavioral Health Plan | $433 | 487% |