CMS Price Transparency Data

X-ray, shoulder

Facility: Gunnison Valley Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $266
Cash Discount Price: $323
vs. Medicare Baseline: 2.99x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Gunnison Valley Hospital is $266. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $323. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.99x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.

Cash / Self-Pay

$323

Average discount available for prompt cash payment at this facility.

Insurance Median

$266

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: $323 (363%)

Insurance Median: $266 (299%)

Cash: $323 (363% of Medicare)

Ins. Median: $266 (299% 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 299% of the Medicare baseline (a markup of 199%). 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
Cigna	$8 - $373	9%
Medicare (plans)	$9 - $187	10%
Aetna	$13 - $366	15%
Apostrophe-All Plans	$15 - $343	17%
Medicaid / KanCare	$30 - $76	34%
Gunnison County Sheriff Op & Profee Only	$34 - $196	38%
Ebms Hdhp	$40 - $229	45%
Tetwp Op & Profee Only-All Plans	$40 - $229	45%
U Of Co Transplant-All Plans	$40 - $229	45%
Ebms Ppo Plan-All Other Plans	$47 - $267	53%
Gunnison County Employees-All Other Plans	$54 - $305	61%
Scottish Rites-All Plans	$54 - $305	61%
Elap Employers-All Plans	$57 - $324	64%
Blue Cross Blue Shield	$59 - $334	66%
Multiplan-All Plans	$60 - $354	67%
Cofinity-All Plans	$64 - $366	72%
Rocky Mountain Health-All Plans	$64 - $362	72%
UnitedHealthcare	$64 - $362	72%
Gunnison County Coroner Op Only	$195 - $196	219%

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 $323.
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 Gunnison Valley 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.