CMS Price Transparency Data

X-ray, shoulder

Facility: Flagstaff Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $112
  • Cash Discount Price: $232
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Flagstaff Medical Center is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $232. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.26x the Medicare baseline. Located in 1200 North Beaver Street, Flagstaff, AZ.
Cash / Self-Pay
$232

Average discount available for prompt cash payment at this facility.

Insurance Median
$112

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: $232 (261%)
Insurance Median: $112 (126%)
Cash: $232 (261% of Medicare)
Ins. Median: $112 (126% 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
Devoted $34 - $103 38%
Health Choice $34 - $191 38%
University Of Arizona Health Plans $34 - $108 38%
Va Pccc Triwest $35 - $99 39%
Nau Athletic Department $60 - $371 67%
Naphcare $61 - $199 69%
Carefirst $78 88%
Mercy Care Rhba $78 88%
Ahcccs $81 91%
Ahcccs Other $81 91%
Fmc Jail $81 91%
Health Choice Arizona $81 91%
Health Choice Integrated Care $81 91%
Health Net Of Arizona $81 91%
Mercy Care $81 91%
Nhi Out Of State Ahcccs $81 91%
UnitedHealthcare $81 - $429 91%
Health Net Federal $93 105%
Aetna $98 - $395 110%
Fmc 30/70 $98 110%
Humana $98 - $441 110%
Medicare (plans) $98 110%
Mercy Care Advantage $98 110%
Rehabilitation Hospital Of Northern Arizona $98 110%
Snf Fmc $98 110%
Wellcare $98 110%
Wellcare By Allwell $98 110%
Fmc Ihs $99 111%
Ambetter / Centene $112 126%
Pnoa $147 165%
Self Pay $232 - $464 261%
Self-Pay 50% Discount $232 261%
Blue Cross Blue Shield $272 - $340 306%
Workers Comp $302 340%
Copperpoint $340 382%
Cigna $418 470%
Fmc 90/10 $418 470%
Rural Arizona Network Multiplan $418 470%
United Behavioral Health $464 522%
Auto Insurance $5,000 5624%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 North Beaver Street, Flagstaff, AZ 86001
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals