CMS Price Transparency Data
X-ray, shoulder
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 73030 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73030
- Insurance Median: $140
- Cash Discount Price: $941
- vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at AHMC Anaheim Regional Medical Center is $140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $941. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.57x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$941
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: $941 (1058%)
Insurance Median: $140 (157%)
Cash: $941 (1058% 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
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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 |
|---|---|---|
| Memorial Healthcare Ipa | $18 | 20% |
| Talbert Medical Group | $23 - $26 | 26% |
| Ahmc Reciprocity Agreement | $26 - $376 | 29% |
| Allied Physicians | $26 - $168 | 29% |
| Altamed Health Network | $26 - $110 | 29% |
| Applecare Medical Group | $26 | 29% |
| Beverly Hospital | $26 - $123 | 29% |
| Brand New Day | $26 - $140 | 29% |
| Health Net | $26 | 29% |
| Healthcare Partners | $26 - $110 | 29% |
| Healthy Way La | $26 | 29% |
| Heritage Provider Network | $26 - $151 | 29% |
| Non Contracted Medi-Cal | $26 | 29% |
| Monarch Healthcare Medical Group | $31 | 35% |
| Private Pay Flat Rate | $34 | 38% |
| Caloptima | $36 - $110 | 40% |
| Monarch Health Plan | $36 - $851 | 40% |
| Prospect Health Plan | $36 - $151 | 40% |
| Aids Health Foundation | $37 - $110 | 42% |
| Avanti | $37 - $134 | 42% |
| Emanate Health | $37 - $140 | 42% |
| Health Net Inc | $37 - $963 | 42% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $37 | 42% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $37 | 42% |
| Hollywood Presbyterian Medpoint Mcal | $37 | 42% |
| Kaiser Foundation Hospitals | $37 - $110 | 42% |
| Medi-Cal | $37 | 42% |
| Medical Safety Net Program | $37 | 42% |
| Msi/Medical Services For Indigents | $52 | 58% |
| Blue Cross Blue Shield | $61 - $198 | 69% |
| Aetna | $64 - $110 | 72% |
| Veterans Administration | $78 | 88% |
| Prospect Medical Group | $101 | 114% |
| Alta Los Angeles Hospital | $105 | 118% |
| Tricare | $106 | 119% |
| Alignment Health Plan | $110 | 124% |
| Apa Aco Inc | $110 | 124% |
| Blue Shield Of California | $110 - $269 | 124% |
| California Health Plan | $110 | 124% |
| Central Health Of California | $110 | 124% |
| Davita Heatlhcare Partners Plan Inc | $110 - $677 | 124% |
| Healthnet | $110 | 124% |
| Humana | $110 | 124% |
| Medicare (plans) | $110 - $627 | 124% |
| Pacificare | $110 | 124% |
| Scan Health Plan | $110 | 124% |
| Seoul Medical Group | $110 - $112 | 124% |
| Wellcare | $110 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $112 | 126% |
| Innovative Integrated Health (Iih)/Orange County Pace | $112 | 126% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $112 | 126% |
| Self-Pay | $112 | 126% |
| Nchp | $116 | 130% |
| Align Senior Care | $117 | 132% |
| Angels Baseball Workers Comp | $127 | 143% |
| UnitedHealthcare | $132 - $330 | 148% |
| Interplan | $134 - $878 | 151% |
| Ahmc Health Self-Insurance Epo | $140 | 157% |
| Knox-Keene Act | $140 | 157% |
| First Health | $144 - $1,066 | 162% |
| Orange County Preferred Provider Organization | $144 - $940 | 162% |
| Athens Administrators | $149 | 168% |
| Capp Care | $149 - $940 | 168% |
| Cigna | $149 - $199 | 168% |
| Corvel | $149 - $940 | 168% |
| Marriot Intl | $149 | 168% |
| Non Contracted Workers Comp | $149 | 168% |
| Netcare Life And Health Insurance | $157 - $314 | 177% |
| Advance Clinical Research Institute | $188 - $376 | 211% |
| Medical Acquisition Company | $251 - $502 | 282% |
| Affiliated Doctors Of Orange County | $282 - $564 | 317% |
| Healthcare Partners Commercial | $339 - $677 | 381% |
| Huntington Memorial Hospital | $339 - $677 | 381% |
| Genesis Healthcare Ipa Ancillary | $376 - $752 | 423% |
| Affiliated Health Fund | $439 - $878 | 494% |
| Allnet Preferred Provider | $439 - $878 | 494% |
| Care First | $439 - $878 | 494% |
| Private Healthcare Systems | $439 - $878 | 494% |
| Choicecare | $470 - $940 | 529% |
| Multiplan Inc | $470 - $940 | 529% |
| National Provider Network | $502 - $1,003 | 565% |
| Three Rivers Providers Network | $502 - $1,003 | 565% |
| Health Payors Organization | $564 - $1,129 | 634% |
| Non Contracted Commercial | $627 - $1,254 | 705% |