CMS Price Transparency Data

X-ray, shoulder

Facility: Northwest Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $100
  • Cash Discount Price: $537
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Northwest Medical Center is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $537. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.12x the Medicare baseline. Located in 6200 North La Cholla Boulevard, Tucson, AZ.
Cash / Self-Pay
$537

Average discount available for prompt cash payment at this facility.

Insurance Median
$100

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: $537 (604%)
Insurance Median: $100 (112%)
Cash: $537 (604% of Medicare)
Ins. Median: $100 (112% 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
Aetna $34 - $1,151 38%
Medicaid / KanCare $58 - $93 65%
Magellan $61 - $96 69%
Blue Cross Blue Shield $81 - $384 91%
Cigna $82 - $306 92%
Humana $82 - $91 92%
Medicare (plans) $82 - $91 92%
Node Caremore Mcr Adv $82 - $91 92%
Scan Health Plan $82 - $91 92%
UnitedHealthcare $82 - $1,278 92%
Pascua Yaqui Tribe $83 - $92 93%
Department Of Veterans Affairs $84 - $93 94%
Fresenius Health $84 - $93 94%
Node Clover Health Mcr Adv $84 - $94 94%
Node Non Par Hospice Agree $84 - $93 94%
Node Va $84 - $93 94%
Tricare $84 - $93 94%
Triwest $84 - $93 94%
Node Devoted Health Mcr Adv $85 - $94 96%
Node Banner Mcr Adv $86 - $96 97%
Veterans Eval Services $86 - $172 97%
Wellcare $86 - $96 97%
Node Us Dept Of Labor $104 - $116 117%
Ambetter / Centene $118 - $131 133%
Node Health Choice Health Exchange $123 - $136 138%
Health Net $132 - $147 148%
Node Fusion Network $150 - $167 169%
Node J Allen Inmate Health Svcs $159 - $176 179%
Seven Corners $192 - $214 216%
Self Pay $307 - $921 345%
First Health Coventry $671 - $1,342 755%
Coventry Medical Center $767 - $1,534 863%
Multiplan $1,062 - $2,122 1194%
Prime Health $1,087 - $2,173 1223%
Healthsmart $1,151 - $2,301 1295%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6200 North La Cholla Boulevard, Tucson, AZ 85741
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals