CMS Price Transparency Data

X-ray, shoulder

Facility: University of Colorado Hospital Authority

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $164
Cash Discount Price: $321
vs. Medicare Baseline: 1.84x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at University of Colorado Hospital Authority is $164. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $321. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.84x the Medicare baseline. Located in 12605 E 16Th Ave, Aurora, CO.

Cash / Self-Pay

$321

Average discount available for prompt cash payment at this facility.

Insurance Median

$164

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: $321 (361%)

Insurance Median: $164 (184%)

Cash: $321 (361% of Medicare)

Ins. Median: $164 (184% 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
Blue Cross Blue Shield	$30 - $540	34%
Select Health	$81 - $90	91%
UnitedHealthcare	$86 - $751	97%
Aetna	$88 - $177	99%
Cigna	$88 - $120	99%
Cms	$88	99%
Denver Health Medical Plan	$88 - $487	99%
Devoted Health	$88	99%
Humana	$88	99%
Kaiser	$88 - $539	99%
Rocky Mountain Health Plan	$300 - $468	337%
Simplified Benefits Administration	$355 - $378	399%
Kaiser Public Option	$358	403%
Phcs	$505	568%
Multiplan	$551	620%
First Health	$643	723%
Midlands Choice	$643	723%

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 $321.
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 University of Colorado Hospital Authority 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.