CMS Price Transparency Data
X-ray, shoulder
Facility: Whittier Hospital Medical Center
Billing Code: 73030 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73030
- Insurance Median: $134
- Cash Discount Price: $92
- vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Whittier Hospital Medical Center is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.51x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$92
Average discount available for prompt cash payment at this facility.
Insurance Median
$134
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: $92 (103%)
Insurance Median: $134 (151%)
Cash: $92 (103% of Medicare)
Ins. Median: $134 (151% 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 |
|---|---|---|
| Blue Cross Blue Shield | $7 - $339 | 8% |
| Ahmc Medi-Cal Reciprocity Agreement | $26 | 29% |
| Aids Healthcare Foundation | $26 - $110 | 29% |
| Allied Physicians | $26 - $168 | 29% |
| Alta Med Health Network | $26 - $110 | 29% |
| Altamed Health Services Corporation | $26 | 29% |
| Beverly Hospital | $26 - $123 | 29% |
| Brand New Day | $26 - $138 | 29% |
| Emanate Health | $26 - $138 | 29% |
| Health Net | $26 - $405 | 29% |
| Healthy Way La | $26 | 29% |
| Heritage Provider Network | $26 - $151 | 29% |
| Kaiser Foundation | $26 - $475 | 29% |
| La Care Healthy Families/Healthy Kids | $26 | 29% |
| Non Contracted Medi-Cal | $26 | 29% |
| Prospect Health Plan | $26 - $179 | 29% |
| Synermed | $26 - $112 | 29% |
| Capnet | $27 | 30% |
| La Care Health Plan | $30 - $373 | 34% |
| Aetna | $31 - $494 | 35% |
| Caloptima | $36 - $110 | 40% |
| Monarch Healthplan | $36 | 40% |
| Avanti | $37 - $134 | 42% |
| Care First Health Plan | $37 | 42% |
| County Of Los Angeles Dept Of Health Services | $37 | 42% |
| Hollywood Presbyterian Adv Med Mcal | $37 | 42% |
| Hollywood Presbyterian Medpoint Mcal | $37 | 42% |
| Medi Caid/ Medi Cal | $37 | 42% |
| Pacific Independent Physician Association | $37 - $203 | 42% |
| Applecare Medical Group | $38 | 43% |
| Physician Healthways | $68 | 76% |
| Alliance Imaging | $75 | 84% |
| Veterans Administration | $78 | 88% |
| Alta Los Angeles Hospitals Inc | $110 | 124% |
| Apa/Aco Inc | $110 | 124% |
| Central Health Plan | $110 | 124% |
| Easy Choice Health Plan | $110 | 124% |
| Humana | $110 | 124% |
| Medicare (plans) | $110 - $116 | 124% |
| Pacificare Of California | $110 | 124% |
| Scan Health Plan | $110 | 124% |
| Blue Shield Of California | $112 - $339 | 126% |
| Caremore | $112 | 126% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $112 | 126% |
| La Care Covered Direct | $112 | 126% |
| Pacific Alliance Medical Center | $112 | 126% |
| Private Pay | $112 | 126% |
| Self-Pay | $112 | 126% |
| Tricare | $112 | 126% |
| Alignment Health Plan | $116 | 130% |
| Molina Healthcare Of California | $116 | 130% |
| San Miguel Health Plan | $123 | 138% |
| UnitedHealthcare | $132 - $407 | 148% |
| Chinatown Service Center Pace | $134 | 151% |
| Ahmc Health | $140 | 157% |
| Knox-Keene Act | $140 | 157% |
| Molina Medical Center | $140 - $264 | 157% |
| Fmc Los Angeles County | $141 - $508 | 159% |
| Interplan Health Group | $144 | 162% |
| Athens Administrators Ahmc Work Comp | $149 | 168% |
| Misc 1 | $149 | 168% |
| Multiplan Wc | $149 | 168% |
| Physicians Healthways Medical Corporation | $170 | 191% |
| Cigna | $199 | 224% |
| Ahmc Reciprocity | $203 | 228% |
| Ahmc Reciprocity Agreement Senior/Commercial | $203 | 228% |
| Wear And Wood | $203 - $271 | 228% |
| Edward Medical Group | $237 | 267% |
| Central Health Plan Of California | $271 | 305% |
| Health Net Inc | $274 - $441 | 308% |
| Allied Physicians Ipa | $305 | 343% |
| Healthnet | $336 - $471 | 378% |
| Prospect Medical | $373 | 420% |
| Care 1St Health Plan | $407 | 458% |
| New Horizon Medical Group Inc | $407 | 458% |
| Cost Containment | $441 | 496% |
| Davita Healthcare Partners | $441 | 496% |
| Universal Care | $441 - $475 | 496% |
| Asi/Flex | $475 | 534% |
| Us Comp Care | $475 | 534% |
| Value Healthplan Of California | $475 | 534% |
| Community Care Network | $508 | 571% |
| Coventry Health Care | $508 | 571% |
| Coventry Health Care National Network | $508 | 571% |
| Interplan Corporation | $508 | 571% |
| Managed Care Administrators | $508 | 571% |
| Prohealth | $508 | 571% |
| Multiplan | $576 | 648% |
| Commercial Non Contract | $678 | 763% |
| Medi-Cal Sub Acute | $678 | 763% |
| One Legacy | $678 | 763% |
| Great-West Healthcare Of California | $2,500 | 2812% |