CMS Price Transparency Data

X-ray, shoulder

Facility: Hospital San Francisco

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $16
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 0.18x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Hospital San Francisco is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.18x the Medicare baseline. Located in 371 De Diego Ave, San Juan, PR.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $25 (28%)
Insurance Median: $16 (18%)
Cash: $25 (28% of Medicare)
Ins. Median: $16 (18% 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
First Medical $8 - $14 9%
Mso $9 - $17 10%
Triple S $9 - $22 10%
Acaa $10 11%
Aarp $12 13%
Humana $12 - $17 13%
Mapfre $12 13%
Mc $12 13%
Mcs $14 - $16 16%
Plan De Salud Menonita $14 - $16 16%
Western Medical Hospice $14 16%
Auxilio Platino $15 17%
Fondo Del Seguro Estado $15 17%
Pr Other Insurances $15 17%
Cigna $17 19%
Comerciales $17 19%
Medicare (plans) $17 19%
Tricare $17 19%
Va $20 22%
Bl $21 24%
Medicaid / KanCare $23 26%
Prossam $23 26%
Ch $24 27%
Mpc - Us $24 27%
UnitedHealthcare $24 27%
Us $24 27%
Corvel Network $29 33%
Mpc-Pr Other Insurances $29 33%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 371 De Diego Ave, San Juan, PR 00923
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals