CMS Price Transparency Data

X-ray, shoulder

Facility: Mountainview Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $906
Cash Discount Price: $2,587
vs. Medicare Baseline: 10.19x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Mountainview Hospital is $906. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,587. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 10.19x the Medicare baseline. Located in 3100 N Tenaya Way, Las Vegas, NV.

Cash / Self-Pay

$2,587

Average discount available for prompt cash payment at this facility.

Insurance Median

$906

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: $2,587 (2910%)

Insurance Median: $906 (1019%)

Cash: $2,587 (2910% of Medicare)

Ins. Median: $906 (1019% 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 1019% of the Medicare baseline (a markup of 919%). 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
Blue Cross Blue Shield	$9 - $47	10%
Ambetter / Centene	$11 - $591	12%
Aetna	$55	62%
United	$59 - $613	66%
Corvel	$80	90%
Olympus Medsave Usa	$85 - $2,109	96%
Sierra	$140	157%
Select Health	$303 - $648	341%
Prominence Healthfirst	$422 - $844	475%
Cigna	$452	508%
Cmn Global	$590 - $1,181	664%
Emerging Therapy Solutions	$688 - $1,884	774%
Nv Health & Welfare Trust	$843 - $1,687	948%
Multiplan	$885 - $2,053	995%
First Health	$927 - $2,250	1043%
Medcare International	$1,054 - $2,109	1185%

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 $2,587.
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 Mountainview 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.