CMS Price Transparency Data

X-ray, shoulder

Facility: HCA Healthone Mountain Ridge

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $1,663
Cash Discount Price: $5,062
vs. Medicare Baseline: 18.70x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at HCA Healthone Mountain Ridge is $1,663. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,062. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 18.70x the Medicare baseline. Located in 9191 Grant St, Thornton, CO.

Cash / Self-Pay

$5,062

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,663

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: $5,062 (5693%)

Insurance Median: $1,663 (1870%)

Cash: $5,062 (5693% of Medicare)

Ins. Median: $1,663 (1870% 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 1870% of the Medicare baseline (a markup of 1770%). 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 - $3,814	25%
United	$138 - $2,319	155%
Pinnacol Workers Comp	$140	157%
Multiplan	$146 - $4,639	164%
Cigna	$179 - $3,299	201%
Rocky Mountain Health Plan	$182	205%
Life Source Services	$350	394%
Vail Health	$392 - $783	441%
Kaiser	$487 - $1,830	548%
Bright Health	$773 - $1,546	869%
Colorado Program For Children With Special Needs	$876 - $1,752	985%
Aetna	$1,361 - $2,721	1531%
Western Plains Community Health	$1,676 - $3,350	1885%
Northcare	$1,804 - $3,608	2029%
Physician Health Partners	$1,804 - $3,608	2029%
Medical Development International	$2,062 - $4,123	2319%
Prime Health	$2,320 - $4,639	2609%

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 $5,062.
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 Mountain Ridge 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.