CMS Price Transparency Data

X-ray, shoulder

Facility: Bay Area Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $130
Cash Discount Price: $169
vs. Medicare Baseline: 1.46x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Bay Area Hospital is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $169. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.46x the Medicare baseline. Located in 1775 Thompson Road, Coos Bay, OR.

Cash / Self-Pay

$169

Average discount available for prompt cash payment at this facility.

Insurance Median

$130

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: $169 (190%)

Insurance Median: $130 (146%)

Cash: $169 (190% of Medicare)

Ins. Median: $130 (146% 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.

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
Nasomah Hlth Grp - All Plans	$22 - $248	25%
Pacificsource - All Plans	$31 - $352	35%
Moda Connexus/Synergy	$32 - $368	36%
First Choice - All Plans	$33 - $377	37%
Aetna	$34 - $381	38%
Cigna	$34 - $381	38%
Providence - All Other Plans	$34 - $385	38%
Healthnet Comm- All Other Plans	$35 - $393	39%
UnitedHealthcare	$35 - $393	39%
Southwest Oregon Ipa - All Plans	$86	97%
Healthnet Mcaid	$104	117%
Healthnet Mcr Adv	$112	126%
Moda Hlth Mcr Adv	$114	128%
Blue Cross Blue Shield	$130 - $1,482	146%
Moda Beacon - All Other Plans	$281	316%
Providence Pebb	$400	450%
Ods Ppo/Pos - All Plans	$403	453%

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 $169.
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 Bay Area 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.