CMS Price Transparency Data

X-ray, shoulder

Facility: Intermountain Health Alta View Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $246
  • Cash Discount Price: $412
  • vs. Medicare Baseline: 2.77x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Intermountain Health Alta View Hospital is $246. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $412. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.77x the Medicare baseline. Located in 9660 South 1300 East, Sandy, UT.
Cash / Self-Pay
$412

Average discount available for prompt cash payment at this facility.

Insurance Median
$246

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: $412 (463%)
Insurance Median: $246 (277%)
Cash: $412 (463% of Medicare)
Ins. Median: $246 (277% 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 277% of the Medicare baseline (a markup of 177%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $9 - $467 10%
American Health $9 - $91 10%
Blue Cross Blue Shield $9 - $417 10%
Health Partners Of Nevada $9 - $88 10%
Humana $9 - $92 10%
Molina $9 - $97 10%
Selecthealth $9 - $278 10%
UnitedHealthcare $9 - $467 10%
Donor Connect $16 - $147 18%
Health Plan Of Nevada $84 - $165 94%
Healthy U $84 94%
Triwest $84 94%
Intermountain Caregiver Plan $233 - $265 262%
Awh Connected $246 - $354 277%
Byu Athletics $246 - $395 277%
Campbell Scientific $246 - $395 277%
Deseret Mutual $246 - $316 277%
Emi $246 - $381 277%
Emi Health $246 - $381 277%
Franklin County $246 - $395 277%
Ifit $246 - $395 277%
Juniper Systems $246 - $395 277%
Lw Miller $246 - $395 277%
Pehp $246 - $489 277%
Tanner Llc $246 - $395 277%
Utah Tech $246 - $395 277%
Cigna $346 - $467 389%
Byu Risk Management $384 - $401 432%
Corporation Of The President $384 - $401 432%
Wcf Insurance $384 - $401 432%
Corvel Corporation $395 444%
Injury Care Of Nevada $412 463%
Managed Care Admin $428 481%
Prodegi Corp Benefit $450 506%
Uofu $450 506%
Springtide $456 513%
Global Excel $467 525%
Medcare International $467 525%
Motivhealth $467 525%
Wise Network $467 525%
Hygeia Corporation $494 556%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9660 South 1300 East, Sandy, UT 84094
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals