CMS Price Transparency Data

X-ray, shoulder

Facility: Lutheran Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $160
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.80x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Lutheran Medical Center is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.80x the Medicare baseline. Located in 8300 W 38Th Ave, Wheat Ridge, CO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$160

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%)

Insurance Median: $160 (180%)

Ins. Median: $160 (180% 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
Kaiser Perm Hmo	$70 - $160	79%
Aarp	$88	99%
Aetna	$88 - $341	99%
Kaiser Self Funded	$88 - $160	99%
Kaiser Snp	$88	99%
Select Health	$88	99%
UnitedHealthcare	$88 - $221	99%
Kaiser Perm Ppo/Pos	$89 - $165	100%
Allegiance	$95	107%
Cigna	$95 - $381	107%
Geha	$96 - $221	108%
Preferred One	$96 - $152	108%
Blue Cross Blue Shield	$151 - $320	170%
Humana	$160	180%
Denv Hlth Med Plan	$230	259%
Cofinity	$274	308%
First Health Network	$274	308%
Private Hlthcare Sys	$285	321%
Multiplan Inc	$320	360%

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 $X.
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 Lutheran 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.