CMS Price Transparency Data

X-ray, shoulder

Facility: San Luis Valley Regional Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $288
Cash Discount Price: $171
vs. Medicare Baseline: 3.24x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at San Luis Valley Regional Medical Center is $288. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $171. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.24x the Medicare baseline. Located in 106 Blanca Ave, Alamosa, CO.

Cash / Self-Pay

$171

Average discount available for prompt cash payment at this facility.

Insurance Median

$288

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: $171 (192%)

Insurance Median: $288 (324%)

Cash: $171 (192% of Medicare)

Ins. Median: $288 (324% 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 324% of the Medicare baseline (a markup of 224%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Rocky Mountain	$32 - $390	36%
Uc Health Plan Pb	$58	65%
Tricare	$88 - $92	99%
Kaiser	$92 - $390	103%
Triwest	$92	103%
Aetna	$115 - $360	129%
Multiplan Physician	$115	129%
Cigna	$137 - $390	154%
Rocky Mountain Pb	$137	154%
Uchpa Phs - Pb	$137	154%
Presbyterian Health Plan	$207	233%
Co Choice Healthplan - Lutheran Hosp Assoc	$279	314%
Hmo Health Plans	$288	324%
UnitedHealthcare	$361 - $378	406%
Blue Cross Blue Shield	$362	407%
Galaxy Health Network	$362	407%
Multiplan	$362 - $370	407%
Humana	$370	416%
Pinnacol Assurance	$382	430%
Colorado Access	$388	436%
Foundation Health Corp	$390	439%
Uc Health Plan	$390	439%
Uchpa Phs	$390	439%

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 $171.
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 San Luis Valley Regional Medical Center 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.