CMS Price Transparency Data

X-ray, shoulder

Facility: Adventist Health Lodi Memorial

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $42
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 0.47x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Adventist Health Lodi Memorial is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.47x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$17

Average discount available for prompt cash payment at this facility.

Insurance Median
$42

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: $17 (19%)
Insurance Median: $42 (47%)
Cash: $17 (19% of Medicare)
Ins. Median: $42 (47% 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
Alignment Health Plan (Ahp)-All Plans $9 - $115 10%
Blue Shield Mcare Adv $9 - $115 10%
Healthnet Mcare $9 - $115 10%
Hp Of San Joaquin Mcr Adv $9 - $115 10%
Humana $9 - $115 10%
Knnex Health - All Plans $9 - $138 10%
Medcore(Omni Ipa) Op Only- All Plans $9 - $546 10%
Tricare $9 - $115 10%
UnitedHealthcare $9 - $872 10%
Ah Employee Health Plan - All Plans $10 - $207 11%
Hp Healthy Kids Pro Fee $10 11%
Cigna $11 - $1,890 12%
First Health- All Plans $11 - $1,722 12%
Beech Street- All Plans $12 - $1,890 13%
Blue Shield Epn - All Other Plans $12 - $680 13%
Blue Shield Non-Epn $12 - $706 13%
Hp Of San Joaquin Ppo - All Other Plans $12 - $1,995 13%
Kaiser Commercial - All Other Plans $12 - $861 13%
Kaiser Mcr Adv $12 - $115 13%
Multiplan- All Plans $12 - $1,680 13%
Networks By Design- All Plans $12 - $1,050 13%
Healthnet- All Other Plans $13 - $1,031 15%
Western Growers- All Plans $14 - $1,890 16%
Blue Cross Blue Shield $16 - $179 18%
Bc Mcal $17 - $26 19%
Celtic Ins Company - All Plans $26 - $42 29%
Kaiser Mcal $26 - $37 29%
Medi-Cal $26 - $37 29%
Hp Mcal Pro Fee $28 31%
Aetna $30 - $249 34%
Healthnet Mcal $31 - $53 35%
Hp Of San Joaquin Mcal $31 - $46 35%
Three Rivers Provider Network- All Plans $32 - $1,890 36%
Cca Health Plan Mcr Adv- All Plans $115 129%
Bright Health - All Plans $230 259%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals