CMS Price Transparency Data

X-ray, shoulder

Facility: Martin Luther King, Jr. Community Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $109
Cash Discount Price: $506
vs. Medicare Baseline: 1.23x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Martin Luther King, Jr. Community Hospital is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $506. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.23x the Medicare baseline. Located in 1680 East 120Th Street, Los Angeles, CA.

Cash / Self-Pay

$506

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $506 (569%)

Insurance Median: $109 (123%)

Cash: $506 (569% of Medicare)

Ins. Median: $109 (123% 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
Preferred Professional Medical Corporation (Ipa) Of California	$8 - $67	9%
Alta	$26 - $112	29%
Brand New Day	$26 - $1,598	29%
Care1St Health	$26 - $112	29%
Molina Healthcare	$27 - $140	30%
La Care Health	$47	53%
Health Net	$67 - $799	75%
UnitedHealthcare	$95	107%
Santa Monica Unite Here	$103	116%
Heritage Provider Network (Hpn)	$106	119%
La Care Health Pasc-Seui	$131	147%
La Care Health Plan	$131	147%
Blue Shield Of California	$1,092 - $1,209	1228%
Multiplan	$2,131	2397%

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 $506.
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 Martin Luther King, Jr. Community 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.