CMS Price Transparency Data

X-ray, shoulder

Facility: Southern Coos Hospital & Health Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $290
Cash Discount Price: $192
vs. Medicare Baseline: 3.26x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Southern Coos Hospital & Health Center is $290. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $192. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.26x the Medicare baseline. Located in 900 11Th Street Se, Bandon, OR.

Cash / Self-Pay

$192

Average discount available for prompt cash payment at this facility.

Insurance Median

$290

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: $192 (216%)

Insurance Median: $290 (326%)

Cash: $192 (216% of Medicare)

Ins. Median: $290 (326% 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 326% of the Medicare baseline (a markup of 226%). 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	$16 - $449	18%
Cigna	$16 - $382	18%
Moda Health Plan - All Other Plans	$16 - $430	18%
Providence Preferred - All Plans	$18 - $459	20%
Tricare	$36 - $281	40%
Aetna	$41 - $435	46%
Atrio Mcr Adv - Allplans	$41 - $319	46%
Confederated Tribes - All Plans	$41 - $319	46%
Moda Mcr Adv	$41 - $319	46%
Pacific Source Mcr Adv	$41 - $319	46%
Advanced Health - All Plans	$203 - $304	228%
Healthnet - All Plans	$267 - $401	300%
Prov Netwrk Of America - All Plans	$290 - $435	326%
Three Rivers - All Plans	$290 - $435	326%
UnitedHealthcare	$290 - $435	326%
First Choice - All Plans	$296 - $444	333%
Multiplan - All Plans	$300 - $449	337%
First Health - All Plans	$306 - $459	344%
Pacific Source - All Other Plans	$306 - $459	344%

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 $192.
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 Southern Coos Hospital & Health Center 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.