CMS Price Transparency Data

X-ray, hand

Facility: Ventura County Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $143
  • Cash Discount Price: $290
  • vs. Medicare Baseline: 1.61x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Ventura County Medical Center is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $290. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.61x the Medicare baseline. Located in 300 Hillmont Avenue, Ventura, CA.
Cash / Self-Pay
$290

Average discount available for prompt cash payment at this facility.

Insurance Median
$143

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: $290 (326%)
Insurance Median: $143 (161%)
Cash: $290 (326% of Medicare)
Ins. Median: $143 (161% 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
Hpn Ip/Op Only Medi-Cal $36 40%
Kaiser Medi-Cal Ip/Op Only $36 40%
Medi-Cal $36 40%
Kaiser Mcal Pediatric Ip/Op Only $40 45%
Clinicas Mcal $45 51%
Americas Hp Mcal Ip/Op Only $47 53%
Blue Shield Comm - All Other Plans $60 67%
Gold Coast Medi-Cal-All Plans $64 72%
Tricare $109 123%
Vchcp-All Plans $110 124%
Alignment Hp - All Plans $112 126%
Blue Shield Mcr Adv $112 126%
Humana $112 126%
UnitedHealthcare $115 - $317 129%
Healthnet Mcr Adv $118 133%
Clinicas Mcr Adv $128 144%
Americas Hp Mcr Adv Ip/Op Only $129 145%
Scan-All Plans $134 151%
Western Growers-All Plans $140 157%
Clinicas Comm - All Other Plans $146 164%
Imperial-All Plans $146 164%
Ntwrk Provdrs-All Plans $146 164%
Americas Hp Comm Ip/Op Only-All Other Plans $168 189%
Blue Shield Epn $225 253%
Cigna $271 305%
Healthnet Comm-All Other Plans $319 359%
Kaiser Comm Pediatric Ip/Op Only $319 359%
Aetna $336 - $580 378%
Blue Cross Blue Shield $349 - $537 393%
Multiplan/Claritev-All Plans $464 522%
Three Rivers Ip/Op Only-All Plans $464 522%
Ppo Next Ip/Op Only-All Plans $522 587%
Kaiser Mcr Pediatric Ip/Op Only $580 652%
Medicare (plans) $580 652%
Hpn Comm Ip/Op Only-All Other Plans $824 927%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Hillmont Avenue, Ventura, CA 93003
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals