CMS Price Transparency Data

X-ray, shoulder

Facility: Alhambra Hospital Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $132
  • Cash Discount Price: $597
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Alhambra Hospital Medical Center is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $597. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.48x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
$597

Average discount available for prompt cash payment at this facility.

Insurance Median
$132

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: $597 (671%)
Insurance Median: $132 (148%)
Cash: $597 (671% of Medicare)
Ins. Median: $132 (148% 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
Ahmc-Reciprocity-Medi-Cal/Healthy Families $26 29%
Citrus Valley Health Partners $26 29%
La Care Pasc Seiu Misc $26 29%
La Care Medi-Cal Hmo $30 34%
Aetna $31 - $112 35%
Allied Physicians Of Ca Medi-Cal $37 42%
Health Net Medi-Cal $37 42%
Kaiser Medi-Cal $37 42%
Medi-Cal $37 42%
Miscellaneous Medi-Cal Hmo $37 42%
Blue Cross Blue Shield $43 - $191 48%
Stewart Mg Senior Hmo $67 75%
Blue Shield 65 Plus $106 119%
Apa Aco $108 121%
Altamed Senior Services $110 124%
Brand New Day Sr $110 124%
Central Health Plan Of Ca Senior Hmo $110 124%
Health Net Senior Hmo $110 124%
Medicare (plans) $110 - $358 124%
Humana $112 126%
La Care Exchange $112 126%
Miscellaneous Senior Hmo $112 126%
Tricare $112 126%
UnitedHealthcare $112 - $132 126%
Wellcare Senior Hmo $112 126%
Alignment Senior Hmo $116 130%
Health Net Salud Con Hmo $136 153%
Health Net Exchange $138 155%
Molina Exchange $138 155%
Miscellaneous Work Comp Hmo $149 168%
Ahmc Health $165 186%
Allied Physicians Of Ca Commercial $168 189%
Ahmc-Reciprocity-Comm/Senior $179 201%
Cigna $199 - $269 224%
Allied Physicians Comm/Sr $209 235%
Allied Physicians Medi-Cal $209 235%
Wellcare Allied Senior Hmo $209 235%
Blue Shield Value Network Exchange $219 246%
Health Net Ppo/Epo/Pos $233 262%
Molina Health Plan $233 262%
Self Pay $239 269%
Blue Shield Hmo/Ppo $244 274%
Health Net Exchange Enhanced Ppo $253 285%
Kaiser Commercial $370 416%
Scan Senior Plan $388 436%
Multiplan $478 538%
Miscellaneous Commercial Ppo/Hmo $597 671%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals