CMS Price Transparency Data

X-ray, shoulder

Facility: Ventura County Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $140
  • Cash Discount Price: $318
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Ventura County Medical Center is $140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $318. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.57x the Medicare baseline. Located in 300 Hillmont Avenue, Ventura, CA.
Cash / Self-Pay
$318

Average discount available for prompt cash payment at this facility.

Insurance Median
$140

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: $318 (358%)
Insurance Median: $140 (157%)
Cash: $318 (358% of Medicare)
Ins. Median: $140 (157% 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 $37 42%
Kaiser Medi-Cal Ip/Op Only $37 42%
Medi-Cal $37 42%
Kaiser Mcal Pediatric Ip/Op Only $41 46%
Clinicas Mcal $46 52%
Americas Hp Mcal Ip/Op Only $48 54%
Gold Coast Medi-Cal-All Plans $65 73%
Blue Shield Comm - All Other Plans $66 74%
Tricare $109 123%
Alignment Hp - All Plans $112 126%
Blue Shield Mcr Adv $112 126%
Humana $112 126%
UnitedHealthcare $115 - $348 129%
Healthnet Mcr Adv $118 133%
Vchcp-All Plans $121 136%
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 $246 277%
Cigna $271 305%
Healthnet Comm-All Other Plans $349 393%
Kaiser Comm Pediatric Ip/Op Only $349 393%
Aetna $368 - $635 414%
Blue Cross Blue Shield $382 430%
Multiplan/Claritev-All Plans $508 571%
Three Rivers Ip/Op Only-All Plans $508 571%
Ppo Next Ip/Op Only-All Plans $572 643%
Kaiser Mcr Pediatric Ip/Op Only $635 714%
Medicare (plans) $635 714%
Hpn Comm Ip/Op Only-All Other Plans $902 1015%

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