CMS Price Transparency Data

X-ray, shoulder

Facility: Chinese Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $176
Cash Discount Price: $936
vs. Medicare Baseline: 1.98x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Chinese Hospital is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $936. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.98x the Medicare baseline. Located in 845 Jackson St, San Francisco, CA.

Cash / Self-Pay

$936

Average discount available for prompt cash payment at this facility.

Insurance Median

$176

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: $936 (1053%)

Insurance Median: $176 (198%)

Cash: $936 (1053% of Medicare)

Ins. Median: $176 (198% 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.

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
Blue Cross Blue Shield	$37 - $176	42%
Medi-Cal	$37	42%
San Francisco Health Plan- All Plans	$37	42%
Hp Of San Mateo Medi-Cal	$46	52%
Hp Of San Mateo Health Kids/Health Worx-All Other	$49	55%
Blue Shield Medi-Cal	$50	56%
Asian Medical Group Medi-Cal Op Only	$52	58%
Jade Medi-Cal	$67	75%
Aetna	$126 - $145	142%
Cchp Mcr Adv	$126	142%
Jade Mcr Adv	$126	142%
Jade-All Other Plans	$138	155%
On Lok Mcr Adv-All Plans	$138	155%
Blue Shield - All Other Plans	$261	294%
Health Net-All Plans	$331 - $661	372%
Cigna	$343 - $686	386%
Cchp-All Other Plans	$530 - $1,061	596%
Hp Of San Mateo Mcr Adv	$562 - $1,123	632%
Asian Medical Group Mcare Op Only-All Other Plans	$624 - $1,248	702%
Bay Area Accountable Care Mcare	$624 - $1,248	702%
Bay Area Accountable Care - All Other Plans	$1,123 - $2,246	1263%

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 $936.
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 Chinese 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.