CMS Price Transparency Data

X-ray, shoulder

Facility: Hca-Healthone DBA Swedish Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $1,289
Cash Discount Price: $3,231
vs. Medicare Baseline: 14.50x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Hca-Healthone DBA Swedish Medical Center is $1,289. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,231. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 14.50x the Medicare baseline. Located in 501 E Hampden Ave, Englewood, CO.

Cash / Self-Pay

$3,231

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,289

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: $3,231 (3634%)

Insurance Median: $1,289 (1450%)

Cash: $3,231 (3634% of Medicare)

Ins. Median: $1,289 (1450% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1450% of the Medicare baseline (a markup of 1350%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$22 - $3,031	25%
United	$138 - $1,843	155%
Pinnacol Workers Comp	$140	157%
Multiplan	$146 - $3,687	164%
Rocky Mountain Health Plan	$182	205%
Cigna	$222 - $2,622	250%
Vail Health	$306 - $623	344%
Kaiser	$403 - $1,323	453%
Bright Health	$604 - $1,229	679%
Colorado Program For Children With Special Needs	$886 - $1,802	997%
Aetna	$1,063 - $2,163	1196%
Western Plains Community Health	$1,309 - $2,663	1472%
Northcare	$1,410 - $2,867	1586%
Physician Health Partners	$1,410 - $2,867	1586%
Medical Development International	$1,611 - $3,277	1812%
Prime Health	$1,812 - $3,687	2038%

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 $3,231.
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 Hca-Healthone DBA Swedish 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.