CMS Price Transparency Data

X-ray, shoulder

Facility: Dch Regional Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $157
Cash Discount Price: $196
vs. Medicare Baseline: 1.77x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Dch Regional Medical Center is $157. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $196. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.77x the Medicare baseline. Located in 809 University Boulevard East, Tuscaloosa, AL.

Cash / Self-Pay

$196

Average discount available for prompt cash payment at this facility.

Insurance Median

$157

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: $196 (220%)

Insurance Median: $157 (177%)

Cash: $196 (220% of Medicare)

Ins. Median: $157 (177% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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%
Aetna	$67 - $216	75%
Blue Cross Blue Shield	$87	98%
Humana	$87 - $235	98%
Medicare (plans)	$87	98%
Simpra	$87	98%
UnitedHealthcare	$87 - $392	98%
Viva	$87 - $392	98%
Seven Corners	$148	166%
Choicecare	$157	177%
Al. Dept Of Mental Health	$196	220%
Cigna	$216	243%
Healthnet	$216	243%
Workers Comp	$333	375%
Healthspring	$392	441%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $196.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73030.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Dch Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73030.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.