CMS Price Transparency Data

X-ray, shoulder

Facility: Mid-Columbia Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $104
  • Cash Discount Price: $94
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Mid-Columbia Medical Center is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.17x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.
Cash / Self-Pay
$94

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $94 (106%)
Insurance Median: $104 (117%)
Cash: $94 (106% of Medicare)
Ins. Median: $104 (117% 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 $9 - $990 10%
Community Hp Mcr Adv - All Plans $9 - $104 10%
Healthnet Mcr Adv $9 - $106 10%
Humana $9 - $109 10%
Moda Mcr Adv $9 - $104 10%
Molina Mcr Adv $9 - $104 10%
Tricare $9 - $104 10%
Va Ccn Triwest - All Plans $9 - $104 10%
Devoted Mcr Adv - All Plans $10 - $335 11%
Employee Health Plan - All Plans $10 - $186 11%
Molina - All Other Plans $10 - $114 11%
Aetna $11 - $287 12%
Healthnet - All Other Plans $13 15%
Cigna $15 - $293 17%
Multiplan/Phcs - All Plans $15 - $295 17%
Coventry - All Plans $17 - $280 19%
First Choice - All Plans $17 - $295 19%
Providence Ppo - All Plans $18 - $295 20%
Moda Health Plan - All Other Plans $19 - $205 21%
Molina Mcaid $43 - $162 48%
Amerigroup Mcaid - All Plans $83 - $162 93%
Coordinated Care Mcaid - All Plans $83 - $162 93%
Norocor - All Plans $155 174%
UnitedHealthcare $162 - $295 182%
Healthscape - All Plans $248 279%
First Health - All Plans $276 310%
Pacific Source - All Plans $286 322%
Trpn - Three Rivers - All Plans $295 332%
Ahp - Americas Hlth Plan - All Plans $301 339%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 E 19Th Street, The Dalles, OR 97058
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals