CMS Price Transparency Data

X-ray, shoulder

Facility: Barstow Community Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $879
Cash Discount Price: $960
vs. Medicare Baseline: 9.89x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Barstow Community Hospital is $879. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $960. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 9.89x the Medicare baseline. Located in 820 E Mountain View Street, Barstow, CA.

Cash / Self-Pay

$960

Average discount available for prompt cash payment at this facility.

Insurance Median

$879

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: $960 (1080%)

Insurance Median: $879 (989%)

Cash: $960 (1080% of Medicare)

Ins. Median: $879 (989% 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 989% of the Medicare baseline (a markup of 889%). 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
Medi-Cal	$37	42%
Blue Shield Epn	$54	61%
Cigna	$660 - $1,261	742%
Multiplan Primary Network-All Other Plans	$660 - $1,261	742%
Blue Shield-All Other Plans	$687 - $1,314	773%
Multiplan Complementary Network	$715 - $1,366	804%
Humana	$770 - $1,471	866%
Healthnet-All Plans	$879 - $1,681	989%
Blue Cross Blue Shield	$952	1071%

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 $960.
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 Barstow Community Hospital 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.