CMS Price Transparency Data
X-ray, shoulder
Facility: Chapman Global Medical Center
Billing Code: 73030 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73030
- Insurance Median: $272
- Cash Discount Price: $606
- vs. Medicare Baseline: 3.06x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Chapman Global Medical Center is $272. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $606. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.06x the Medicare baseline. Located in 2601 E Chapman Ave, Orange, CA.
Cash / Self-Pay
$606
Average discount available for prompt cash payment at this facility.
Insurance Median
$272
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: $606 (682%)
Insurance Median: $272 (306%)
Cash: $606 (682% of Medicare)
Ins. Median: $272 (306% 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 306% of the Medicare baseline (a markup of 206%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Brand New Day | $31 - $140 | 35% |
| Altamed Mcal Hmo (Ancillary) | $37 | 42% |
| Healthcare Partners | $37 | 42% |
| Hollywood Presbyterian | $37 - $111 | 42% |
| Kaiser | $37 - $448 | 42% |
| Medi-Cal | $37 | 42% |
| Prime Health Services | $37 - $582 | 42% |
| State Of California | $37 | 42% |
| Altamed | $52 - $111 | 58% |
| Altamed Whole Child Model/Caloptima | $52 | 58% |
| Caloptima | $52 - $112 | 58% |
| Choc Health Alliance | $52 | 58% |
| County Of Orange | $52 - $140 | 58% |
| Family Choice | $52 | 58% |
| Heritage Provider Network | $52 - $436 | 58% |
| Monarch Health Plan | $52 - $117 | 58% |
| Prospect Health Plan | $52 - $168 | 58% |
| Cigna | $53 - $582 | 60% |
| Aetna | $59 - $111 | 66% |
| Scan/Altamed | $106 | 119% |
| Champ | $107 | 120% |
| Champus | $107 | 120% |
| Altamed Health Services | $111 | 125% |
| Astiva | $111 | 125% |
| Blue Shield Of California | $111 - $424 | 125% |
| Central Health Plan | $111 | 125% |
| Champion Health Plan | $111 | 125% |
| Citizen Choice Health Plan | $111 | 125% |
| Clever Care | $111 | 125% |
| Easy Choice | $111 | 125% |
| For Your Benefit | $111 | 125% |
| Health Net | $111 - $531 | 125% |
| Healthcare Partners Sr Hmo | $111 | 125% |
| Humana | $111 | 125% |
| Medicare (plans) | $111 | 125% |
| Monarch Sr | $111 | 125% |
| Onecare | $111 | 125% |
| Onecare/Connect | $111 | 125% |
| Scan Health Plan | $111 | 125% |
| St Joseph | $111 | 125% |
| UnitedHealthcare | $111 - $125 | 125% |
| Us Federal Marshall/Department Of Immigration | $111 | 125% |
| Velocity National Provider Network Sr | $111 | 125% |
| Verda Health Plan | $111 | 125% |
| Veterans Administration | $111 | 125% |
| Apex Hospice | $112 | 126% |
| Choice Physicians Network | $112 | 126% |
| Imperial Health Plan Of Ca | $112 | 126% |
| Innovative Integrated Health | $112 | 126% |
| Medcare Partners Health Plan | $112 | 126% |
| Self Pay | $112 | 126% |
| Us Department Of Labor/Workers Comp | $112 | 126% |
| Victim Of Violent Crime | $112 | 126% |
| Victoria Hospice | $112 | 126% |
| Healthcare Partners Hmo | $121 | 136% |
| Align Senior Care | $125 | 141% |
| Coventry Health | $134 - $141 | 151% |
| Interplan | $135 - $545 | 152% |
| Veterans Evaluation Services | $140 | 157% |
| Ihhi | $145 - $218 | 163% |
| Multiplan | $146 | 164% |
| Three Rivers Wc | $146 | 164% |
| Indemnity Workers Comp California Fee Schedule | $149 | 168% |
| Velocity National Provider Network Wc | $149 | 168% |
| Staywell/Island Home Ins | $157 | 177% |
| Three Rivers Network | $196 | 220% |
| Velocity National Provider Network Ppo | $196 | 220% |
| Velocity National Provider Network Auto Med Ppo | $218 - $327 | 245% |
| First Health | $254 - $382 | 286% |
| Magellan | $290 - $436 | 326% |
| Magellan Behavioral Health | $290 - $436 | 326% |
| Multiplan/Master | $339 - $509 | 381% |
| Networks By Design | $339 - $509 | 381% |
| Healthsmart Preferred Network | $363 - $545 | 408% |
| Pnoa-Provider Network Of America | $387 - $582 | 435% |
| Prime Health Services/Network | $411 - $618 | 462% |
| Clinics | $484 - $727 | 544% |
| Lucet Bh Scan Sr | $484 - $727 | 544% |
| Managed Health Network | $484 - $727 | 544% |
| Opiate Detox Institute | $484 - $727 | 544% |
| Other Insurance | $484 - $727 | 544% |
| Other Non Contracted Insurance Plans | $484 - $727 | 544% |
| Private Pay | $484 - $727 | 544% |
| Silverado Hospice | $484 - $727 | 544% |
| Us Behavioral Health | $484 - $727 | 544% |
| Waismann Method Medical Group | $484 - $727 | 544% |
| West Coast Hospice Care | $484 - $727 | 544% |