CMS Price Transparency Data
X-ray, shoulder
Facility: Monterey Park Hospital
Billing Code: 73030 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73030
- Insurance Median: $160
- Cash Discount Price: $753
- vs. Medicare Baseline: 1.80x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Monterey Park Hospital is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $753. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.80x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$753
Average discount available for prompt cash payment at this facility.
Insurance Median
$160
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: $753 (847%)
Insurance Median: $160 (180%)
Cash: $753 (847% of Medicare)
Ins. Median: $160 (180% 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
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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 | $8 - $400 | 9% |
| Ucla/Impact Cancer | $9 | 10% |
| La Care Health Plan | $21 - $440 | 24% |
| Access Ipa Ancillary | $26 - $101 | 29% |
| Accountable Ipa | $26 | 29% |
| Ahmc Healthcare Inc | $26 - $240 | 29% |
| Allied Physicians | $26 - $168 | 29% |
| Alta Med Health Services Corp | $26 - $200 | 29% |
| Altamed Health Network | $26 - $110 | 29% |
| Altamed Health Services | $26 | 29% |
| Applecare Medical Group | $26 - $90 | 29% |
| Assess Ipa | $26 | 29% |
| Associated Hispanic Physicians Ancillary | $26 - $101 | 29% |
| Beverly Hospital | $26 - $123 | 29% |
| Brand New Day | $26 - $140 | 29% |
| Care 1St Mcl/Gar Cap | $26 | 29% |
| Community Health Plan | $26 | 29% |
| Esperanza Medical Group Ipa | $26 - $240 | 29% |
| Family Health Alliance Medical Group | $26 - $240 | 29% |
| Health Net Medi Cal | $26 | 29% |
| Healthnet Inc | $26 | 29% |
| Healthy Way La | $26 | 29% |
| La Care | $26 - $112 | 29% |
| Medical Managed Care Program | $26 | 29% |
| Molina Healthcare | $26 | 29% |
| Other Non-Contracted Medi-Cal | $26 | 29% |
| Preferred Ipa | $26 - $140 | 29% |
| Preferred Ipa Of California | $26 | 29% |
| Aetna | $31 - $582 | 35% |
| Alhambra Community Dialysis Unit Inc | $34 - $480 | 38% |
| Aids Health Foundation | $37 - $110 | 42% |
| Avanti | $37 - $134 | 42% |
| Bella Vista Medical Group Ancillary | $37 | 42% |
| Central Health Plan | $37 | 42% |
| Emanate Health | $37 - $140 | 42% |
| Hollywood Presbyterian Adv Med Mcal | $37 | 42% |
| Hollywood Presbyterian Medpoint Mcal | $37 | 42% |
| Maxi Med Inc/Ipa | $37 - $112 | 42% |
| Medi Cal | $37 | 42% |
| Pacific Independent Physician Association | $37 - $240 | 42% |
| Caloptima Direct | $55 | 62% |
| Altamed Health Services Corporation | $70 - $80 | 79% |
| Care 1St M Cal | $70 - $80 | 79% |
| Crown City Medical Group Inc | $70 - $80 | 79% |
| Garfield Medical Center | $70 - $80 | 79% |
| Physician Healthways | $70 - $200 | 79% |
| Universal Care M Cal/Advantage Health Network | $70 - $80 | 79% |
| Veterans Administration | $78 | 88% |
| Bella Vista Medical Group | $90 - $240 | 101% |
| Senior Citizens Choice | $99 | 111% |
| Alignment Health Plan | $108 | 121% |
| Apa/Aco Inc | $110 | 124% |
| Blue Shield Of California | $110 - $400 | 124% |
| Cms | $110 | 124% |
| Easy Choice Health Plan | $110 | 124% |
| First Health Senior | $110 | 124% |
| Foundation Health Plan | $110 | 124% |
| Health Net | $110 - $520 | 124% |
| Health Net Inc | $110 - $566 | 124% |
| Humana | $110 | 124% |
| Medicare (plans) | $110 - $116 | 124% |
| Scan Health Plan | $110 | 124% |
| Secure Horizons | $110 | 124% |
| UnitedHealthcare | $110 - $560 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $112 | 126% |
| La Care Covered Direct | $112 | 126% |
| Self-Pay | $112 | 126% |
| Molina Healthcare Medi-Connect | $116 | 130% |
| San Miguel Health Plan | $123 | 138% |
| Pacificare | $132 - $330 | 148% |
| Ahmc Health Epo | $140 | 157% |
| Knox-Keene Act | $140 | 157% |
| Molina Healthcare Of California | $140 | 157% |
| Preferred Health Network | $140 - $640 | 157% |
| Employee Health Systems Medical Group | $141 - $160 | 159% |
| Global Care Medical Group Ipa | $141 - $360 | 159% |
| Healthnet/Ehs Capitation | $141 - $160 | 159% |
| Interplan | $143 - $600 | 161% |
| Asi Flex Ppo W/C | $148 | 166% |
| Athens Administrators | $148 | 166% |
| Indemnity W Comp Fee Schedule | $148 | 166% |
| Multiplan | $148 - $680 | 166% |
| Hispanic Physicians Ipa Medical Corporation | $176 - $200 | 198% |
| Cigna | $199 | 224% |
| Ahmc Reciprocity Agreement Senior/Commercial | $212 - $240 | 238% |
| Allied Physicians Ipa | $212 - $240 | 238% |
| Community Health Plan M Cal Joy Ipa | $212 - $240 | 238% |
| Tenet Reciprocity | $212 - $240 | 238% |
| Healthcare Partners Affiliates Medical Group | $252 - $286 | 283% |
| Molina Medical Centers | $275 - $312 | 309% |
| Central Health Plan Of California | $282 - $320 | 317% |
| Health Net Of California | $333 - $478 | 375% |
| Care 1St Health Plan | $423 - $480 | 476% |
| Greater Los Angeles Dialysis Inc | $423 - $480 | 476% |
| One Health Plan | $423 - $775 | 476% |
| Choice Care Network | $458 - $520 | 515% |
| Healthnet | $458 - $520 | 515% |
| Universal Care | $494 - $560 | 556% |
| Corvel Corporation | $564 - $925 | 634% |
| Bce Emergis Corp | $599 - $680 | 674% |
| Commercial Non Contract | $705 - $800 | 793% |
| Mri/Ct Greater El Monte Hospital | $705 - $800 | 793% |
| Mri/Mra/Alhambra Hospital | $705 - $800 | 793% |
| Mri/Mra/Eladh | $705 - $800 | 793% |
| One Legacy | $705 - $800 | 793% |