CMS Price Transparency Data

X-ray, shoulder

Facility: Adventist Health Tehachapi Valley

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $120
Cash Discount Price: $51
vs. Medicare Baseline: 1.35x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Adventist Health Tehachapi Valley is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.35x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$51

Average discount available for prompt cash payment at this facility.

Insurance Median

$120

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: $51 (57%)

Insurance Median: $120 (135%)

Cash: $51 (57% of Medicare)

Ins. Median: $120 (135% 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
Aetna	$9 - $107	10%
Healthnet Mcare	$9 - $181	10%
Tricare	$9 - $181	10%
UnitedHealthcare	$9 - $466	10%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$9 - $181	10%
Ah Employee Health Plan - All Plans	$10 - $504	11%
Network Providers- All Plans	$10 - $231	11%
Cigna	$11 - $743	12%
Coventry- All Plans	$11 - $856	12%
Oscar Health Plan- All Plans	$11 - $142	12%
Blue Shield Epn- All Other Plans	$13 - $402	15%
Healthnet- All Other Plans	$13 - $732	15%
Blue Shield Non-Epn	$14 - $476	16%
Centivo - All Plans	$14 - $407	16%
Western Grwrs/Pinnacle - All Plans	$14 - $399	16%
Medi-Cal	$26 - $37	29%
Universal Ipa Mcal Op/Profee Only	$26 - $37	29%
Medicare (plans)	$36 - $181	40%
Kaiser Medi-Cal Ip/Op Only	$37	42%
Bc Mcal	$38	43%
Healthnet Medi-Cal	$46	52%
Khs-Kern Hlth Systm Mcal	$48	54%
Kaiser Ip/Op Only- All Other Plans	$62 - $311	70%
Klhp-Kern Legacy Epo -All Other Plans	$95 - $476	107%
Blue Cross Blue Shield	$99 - $549	111%

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 $51.
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 Adventist Health Tehachapi Valley 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.