CMS Price Transparency Data

X-ray, shoulder

Facility: Sunrise Hospital and Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $26
  • Cash Discount Price: $129
  • vs. Medicare Baseline: 0.29x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Sunrise Hospital and Medical Center is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $129. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.29x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.
Cash / Self-Pay
$129

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $129 (145%)
Insurance Median: $26 (29%)
Cash: $129 (145% of Medicare)
Ins. Median: $26 (29% 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 $6 - $125 7%
Humana $6 - $36 7%
United $6 - $846 7%
Amerigroup $8 - $33 9%
Health Plan Nevada $8 - $35 9%
Molina $8 - $37 9%
Silver Summit $8 - $42 9%
Aetna $9 - $54 10%
Alignment Health Plan $9 - $34 10%
Caremore $9 - $35 10%
Healthcare Partners Of Nv $9 - $45 10%
Multiplan $9 - $2,956 10%
Community Care Health $10 - $33 11%
Culinary Health Fund $10 - $50 11%
Hometown Health Providers $10 - $61 11%
Molina Healthcare $10 - $34 11%
Sierra Hpn $10 - $33 11%
Ambetter / Centene $11 - $850 12%
Cigna $11 - $452 12%
Sierra $11 - $182 12%
Select Health $17 - $933 19%
Legacy Provider Network $72 81%
Corvel $76 - $80 85%
Comp-Med Workers Comp $78 88%
Olympus Medsave Usa $80 - $3,037 90%
Prominence Healthfirst $610 - $1,215 686%
Cmn Global $854 - $1,701 961%
Nv Health & Welfare Trust $1,220 - $2,429 1372%
First Health $1,342 - $3,239 1509%
Medcare International $1,525 - $3,037 1715%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3186 S Maryland Pkwy, Las Vegas, NV 89109
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals