CMS Price Transparency Data

X-ray, shoulder

Facility: Adventist Health Reedley

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $38
  • Cash Discount Price: $65
  • vs. Medicare Baseline: 0.43x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Adventist Health Reedley is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.43x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.
Cash / Self-Pay
$65

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

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: $65 (73%)
Insurance Median: $38 (43%)
Cash: $65 (73% of Medicare)
Ins. Median: $38 (43% 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
Healthnet Medi-Cal $5 - $147 6%
Blue Shield Mcare $9 - $112 10%
Fhcn Pace Mcr Adv-All Plans $9 - $112 10%
Lasalle Med Assoc Profee Only - All Plans $9 10%
Tricare $9 - $112 10%
UnitedHealthcare $9 - $412 10%
Upn Mcr Adv Profee Only $9 10%
Ah Employee Health Plan - All Plans $10 - $201 11%
Cigna $11 - $637 12%
Community Care Ipa Mcal-All Plans $11 - $48 12%
Kaiser - All Other Plans $12 - $490 13%
Kaiser Mcr Adv $12 - $112 13%
Blue Shield Epn - All Other Plans $13 - $433 15%
Healthnet- All Other Plans $13 - $426 15%
Blue Shield Non Epn $14 - $502 16%
Western Growers/Pinnacle- All Plans $14 - $451 16%
Blue Cross Blue Shield $16 - $209 18%
Bc Mcal $17 - $26 19%
Aetna $19 - $185 21%
Cal Viva Hlth Mcal - All Plans $26 - $37 29%
Central Ca Alliance Mcal Profee Only $26 29%
Dignity Mcal Op/Profee Only-All Other Plans $26 - $41 29%
Medi-Cal $26 - $37 29%
Upn Mcal Profee Only-All Other Plans $26 29%
Physicians Med Group Op/Profee Only- All Plans $29 - $784 33%
Kern Health Systems Mcal-All Plans $32 - $37 36%
Central Ca Alliance Ccs Profee Only $36 - $39 40%
Central Ca Alliance Chdp Profee Only $36 - $52 40%
Central Ca Alliance Comm Profee Only - All Other P $36 - $39 40%
Dignity Mcr Adv Op/Profee Only $112 126%
Healthnet- Mcr Adv $112 126%
Phs Prime Health Srvcs $112 126%
Bright Health Mcr Adv - All Plans $176 198%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 372 W Cypress Ave, Reedley, CA 93654
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals