CMS Price Transparency Data

X-ray, shoulder

Facility: Gadsden Regional Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $124
  • Cash Discount Price: $658
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Gadsden Regional Medical Center is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $658. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.39x the Medicare baseline. Located in 1007 Goodyear Avenue, Gadsden, AL.
Cash / Self-Pay
$658

Average discount available for prompt cash payment at this facility.

Insurance Median
$124

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: $658 (740%)
Insurance Median: $124 (139%)
Cash: $658 (740% of Medicare)
Ins. Median: $124 (139% 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
Medicaid / KanCare $18 20%
Tricare $68 - $76 76%
Blue Cross Blue Shield $69 - $77 78%
Humana $69 - $77 78%
Medicare (plans) $69 - $77 78%
Node Viva Mcr Adv $69 - $77 78%
Amedisys Hospice $70 - $78 79%
Gadsden Hospice $70 - $78 79%
Node Non Par Hospice Agree $70 - $78 79%
Node Select Health Mcr Adv $70 - $78 79%
Node Va $70 - $78 79%
Southern Care Hospice $70 - $78 79%
UnitedHealthcare $70 - $239 79%
Aetna $71 - $3,244 80%
Cigna $71 - $460 80%
Node Clover Health Mcr Adv $71 - $79 80%
Node Devoted Health Mcr Adv $71 - $78 80%
Node Champva $72 - $80 81%
Node Wellcare Mcr Adv $72 - $80 81%
Node Eon Mcr Adv $73 - $81 82%
Prime Health $74 - $4,525 83%
Veterans Eval Services $76 - $153 85%
Node Us Dept Of Labor $88 - $98 99%
Ambetter / Centene $105 - $117 118%
Self Pay $376 - $1,127 423%
American Employee Alliance $1,253 - $2,505 1409%
Beech Street $1,525 - $4,572 1715%
Multiplan $1,755 - $3,945 1974%
Magellan Behavioral $1,880 - $3,758 2114%
Viva Healthcare $1,880 - $3,758 2114%
First Health $2,193 - $5,057 2467%
Alamed Wc $2,350 - $4,697 2643%
Focus Health $2,397 - $4,791 2696%
Coventry Work Comp Al $2,450 - $4,897 2756%
Work Comp $2,663 - $5,323 2995%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1007 Goodyear Avenue, Gadsden, AL 35903
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals