CMS Price Transparency Data

X-ray, shoulder

Facility: Pullman Regional Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $166
  • Cash Discount Price: $241
  • vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Pullman Regional Hospital is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $241. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.87x the Medicare baseline. Located in 835 S Bishop Blvd, Pullman, WA.
Cash / Self-Pay
$241

Average discount available for prompt cash payment at this facility.

Insurance Median
$166

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: $241 (271%)
Insurance Median: $166 (187%)
Cash: $241 (271% of Medicare)
Ins. Median: $166 (187% 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
Community Care Ntwrk Mcare-All Plans $9 - $166 10%
Kaiser Mcare Advan $9 - $166 10%
Sterling Mcr Adv-All Plans $9 - $166 10%
Triwest - All Plans $9 - $166 10%
Aetna $10 - $451 11%
Wellcare Mcr Adv $10 - $181 11%
Blue Cross Blue Shield $11 - $451 12%
Humana $11 - $166 12%
Premera First - All Plans $12 - $347 13%
First Choice - All Other Plans $15 - $428 17%
First Choice Admin $15 - $392 17%
Kaiser - All Other Plans $17 - $227 19%
Community Health Plan Mcaid-All Plans $21 - $172 24%
Medicaid / KanCare $21 - $172 24%
Molina Hlthcare Mcaid-All Plans $21 - $172 24%
Wellcare Mcaid -All Other Plans $21 - $172 24%
Wellpoint Mcaid - All Plans $21 - $172 24%
Idaho Dshs-All Plans $38 - $195 43%
Admin Wsu Student-All Plans $79 - $404 89%
Multiplan - All Plans $79 - $404 89%
Asuris Nw Hlth-All Plans $84 - $428 94%
Cigna $84 - $428 94%
Focus Hlthcare - All Plans $84 - $428 94%
Northwest One - All Plans $84 - $428 94%
UnitedHealthcare $84 - $428 94%
Great West Hlth-All Plans $88 - $451 99%
Integrated Hp - All Plans $88 - $451 99%
Spokane Phco - All Plans $88 - $451 99%
Provider Network Of America-All Plans $91 - $466 102%
Single Case Agree - All Plans $347 390%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 S Bishop Blvd, Pullman, WA 99163
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals