CMS Price Transparency Data

X-ray, shoulder

Facility: Sharp Coronado Hospital and Hlthcr Ctr

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $473
Cash Discount Price: $565
vs. Medicare Baseline: 5.32x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Sharp Coronado Hospital and Hlthcr Ctr is $473. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $565. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.32x the Medicare baseline. Located in 250 Prospect Place, Coronado, CA.

Cash / Self-Pay

$565

Average discount available for prompt cash payment at this facility.

Insurance Median

$473

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: $565 (635%)

Insurance Median: $473 (532%)

Cash: $565 (635% of Medicare)

Ins. Median: $473 (532% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 532% of the Medicare baseline (a markup of 432%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Community Health Group	$113 - $256	127%
California Health And Wellness	$224	252%
Cigna	$224 - $508	252%
Health Net	$224 - $738	252%
Blue Cross Blue Shield	$293 - $565	330%
Medi-Cal	$296 - $452	333%
Aetna	$346 - $580	389%
Blue Shield	$361 - $565	406%
Humana	$376	423%
Molina	$414	466%
Medicare (plans)	$425	478%
UnitedHealthcare	$471 - $565	530%
San Diego Pace	$505 - $565	568%
Epic Americas	$527	593%
Multiplan	$527	593%
Indian Health Council	$602	677%
Kaiser	$602	677%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $565.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73030.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sharp Coronado Hospital and Hlthcr Ctr is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73030.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.