CMS Price Transparency Data
X-ray, shoulder
Facility: Children's Hosp of Los Angeles
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 Children's Hosp of Los Angeles 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 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
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 |
|---|---|---|
| Medi-Cal | $4 - $24 | 4% |
| Molina | $4 - $24 | 4% |
| Inland Empire Health Plan | $4 - $24 | 4% |
| Medicaid / KanCare | $7 - $24 | 8% |
| Shriners Hospital | $7 | 8% |
| Beech Street | $10 | 11% |
| Non-Contract Payors | $10 | 11% |
| Health Net | $10 - $31 | 11% |
| Incentive Health Network | $10 | 11% |
| Heritage Provider Network | $11 - $24 | 12% |
| Kaiser | $11 - $14 | 12% |
| Emanate Health Medical Center Mmc | $11 | 12% |
| Staywell Insurance | $12 | 13% |
| St. John's Health Clinic | $12 - $15 | 13% |
| Mercy Care | $12 | 13% |
| Facey Medical Group | $12 - $15 | 13% |
| Sansum Clinic | $12 | 13% |
| La Care | $12 - $24 | 13% |
| Pioneer Prov Ntwk | $12 | 13% |
| Altamed | $12 - $24 | 13% |
| Accarent Health | $12 | 13% |
| Exceptional Care Medical Group | $12 - $24 | 13% |
| Managed Care Systems | $12 | 13% |
| Citrus Valley Phys Grp | $12 - $16 | 13% |
| Axminster Medical Group | $12 - $15 | 13% |
| Gemcare IPA | $12 | 13% |
| Community Care | $13 | 15% |
| Centinela Valley IPA | $13 - $24 | 15% |
| Good Samaritan Medical Group | $13 | 15% |
| Culinary Health Fund | $13 - $24 | 15% |
| Aetna | $13 | 15% |
| Intl - Quality Health Management | $13 - $24 | 15% |
| Applecare Medical Group | $13 - $24 | 15% |
| Providence Health Network | $13 | 15% |
| Blue Shield | $13 - $24 | 15% |
| Book Md | $13 | 15% |
| Health Care La IPA | $13 - $24 | 15% |
| Intl - Global Excel Management | $13 - $49 | 15% |
| Global Care Medical Group | $13 - $24 | 15% |
| Premier Physicians Ntwk | $13 - $24 | 15% |
| Intl - Global Medical Management | $13 | 15% |
| Bella Vista Med Grp | $13 - $24 | 15% |
| National Healthcare Solutions | $13 | 15% |
| Choice Medical Group | $13 | 15% |
| Blue Cross Blue Shield | $14 - $59 | 16% |
| Seoul Medical Group | $14 | 16% |
| Access Medical Group | $14 | 16% |
| Sanus Health | $15 | 17% |
| Bright Medical Associates | $15 | 17% |
| Allied Pacific IPA | $15 - $24 | 17% |
| Ventura County Health Plan | $15 | 17% |
| Delta Health Systems | $15 | 17% |
| Preferred IPA - Commercial | $15 | 17% |
| Alhambra Hospital Medical Center | $15 - $24 | 17% |
| Sierra Health and Life Insurance Company | $15 | 17% |
| Emanate Health Medical Center Commercial | $15 | 17% |
| Private Hlthcare System | $15 | 17% |
| Los Angeles Medical Center IPA | $15 - $24 | 17% |
| Self-Pay | $15 | 17% |
| UnitedHealthcare | $15 - $109 | 17% |
| Family Care Specialists | $15 - $24 | 17% |
| Intl - Concierge Healthcare Services | $16 | 18% |
| Star Healthcare Network Commercial | $16 | 18% |
| Intl - Msh China Enterprise Services | $16 | 18% |
| Cedar Sinai Med Grp | $16 | 18% |
| Intl - Erv Travel Services | $16 - $17 | 18% |
| Embassy - Saudi Arabia | $16 | 18% |
| Redlands Community Hospital | $16 | 18% |
| Seaside Health Plan | $16 - $24 | 18% |
| Plotkin Health | $16 | 18% |
| Marian Health Services | $16 | 18% |
| Calvo Selectcare | $16 | 18% |
| Intl - Aixin Life Insurance Co | $16 - $24 | 18% |
| Prime Health Services | $16 | 18% |
| Serra Community Med Clinic - Commercial | $16 | 18% |
| Lakewood Health Plan | $16 | 18% |
| Axis Services International | $16 | 18% |
| Memorialcare Med Foundation | $17 | 19% |
| Angeles IPA | $17 - $24 | 19% |
| Multiplan | $17 | 19% |
| Korean American Med Grp | $17 | 19% |
| Primecare Medical Network | $17 | 19% |
| Beaver Medical Group | $17 | 19% |
| Prospect Medical Group | $18 | 20% |
| Associated Hispanic Physicians IPA | $18 - $24 | 20% |
| Interlink Health Services | $18 | 20% |
| Hispanic Physician IPA | $18 - $24 | 20% |
| Embassy - Kuwait | $18 | 20% |
| Embassy - All Others | $20 | 22% |
| Self-Pay International | $20 | 22% |
| Valley Presbyterian Hospital | $24 | 27% |
| Avalon IPA | $24 | 27% |
| Crown City Medical Group | $24 | 27% |
| Community Care IPA Mmc | $24 | 27% |
| Choc Health Alliance | $24 | 27% |
| White Memorial Medical Center | $24 | 27% |
| Family Health Alliance Med Grp | $24 | 27% |
| Southland San Gabriel Valley Medical Group | $24 | 27% |
| El Proyecto Del Barrio | $24 | 27% |
| St Francis Medical Center | $24 | 27% |
| Noble Community Medical Associates | $24 | 27% |
| Employee Health Systems Med Grp | $24 | 27% |
| Regent Medical Group | $24 | 27% |
| Superior Choice Medical Group | $24 | 27% |
| Primary Care and Pediatric IPA | $24 | 27% |
| Point Comfort Underwriters | $24 | 27% |
| Accountable Health | $24 | 27% |
| Hollywood Presbyterian Medical Center | $24 | 27% |
| Healthy New Life Medical Corp | $24 | 27% |
| Mabuhay Medical Group | $24 | 27% |
| Imperial Health Holdings Medical Group | $24 | 27% |
| Medicare (plans) | $24 - $110 | 27% |
| Pacific Alliance Medical Center | $24 | 27% |
| California Pacific Physicians Medical Group | $24 | 27% |
| Souther California Hosp System - Mmc | $24 | 27% |
| Preferred IPA | $24 | 27% |
| Karing Physicians Medical Group | $24 | 27% |
| Serendib Healthways Mmc | $24 | 27% |
| Adventist Health Physicians | $24 - $201 | 27% |
| Beverly Hospital | $24 | 27% |
| Serra Community Med Clinic | $24 | 27% |
| Watts Healthcare Mmc | $24 | 27% |
| Southern Atlantic Medical Group Mmc | $24 - $39 | 27% |
| Cal Care IPA | $24 | 27% |
| Dignity Health | $24 | 27% |
| Kern Family Health Plan | $24 | 27% |
| Cencal Health | $24 | 27% |
| Cigna | $24 | 27% |
| Care 1St | $24 | 27% |
| Asian Community Medical Group | $24 | 27% |
| San Judas Med Grp | $24 | 27% |
| Gold Coast Health Plan | $24 | 27% |
| Community Family Care IPA | $24 | 27% |
| Caloptima | $24 | 27% |
| Champus | $109 | 123% |