CMS Price Transparency Data

X-ray, shoulder

Facility: Coalinga Regional Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $163
  • Cash Discount Price: $488
  • vs. Medicare Baseline: 1.83x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Coalinga Regional Medical Center is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $488. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.83x the Medicare baseline. Located in 1191 Phelps Avenue, Coalinga, CA.
Cash / Self-Pay
$488

Average discount available for prompt cash payment at this facility.

Insurance Median
$163

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: $488 (549%)
Insurance Median: $163 (183%)
Cash: $488 (549% of Medicare)
Ins. Median: $163 (183% 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 $37 - $163 42%
Healthnet Mcal $37 42%
Medi-Cal $37 42%
Healthnet Hmo/Ppo - All Other Plans $133 150%
Healthnet Mcr Adv $163 183%
Department Of State Hosp - All Plans $212 238%
Healthnet Prison $212 238%
Cigna $570 641%
Aetna $692 778%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1191 Phelps Avenue, Coalinga, CA 93210
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals