CMS Price Transparency Data

X-ray, shoulder

Facility: The Medical Center of Aurora & South Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $1,086
Cash Discount Price: $3,745
vs. Medicare Baseline: 12.21x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at The Medical Center of Aurora & South Hospital is $1,086. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,745. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 12.21x the Medicare baseline. Located in 1501 S Potomac St, Aurora, CO.

Cash / Self-Pay

$3,745

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,086

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: $3,745 (4212%)

Insurance Median: $1,086 (1221%)

Cash: $3,745 (4212% of Medicare)

Ins. Median: $1,086 (1221% 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 1221% of the Medicare baseline (a markup of 1121%). 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 - $3,695	25%
United	$138 - $2,247	155%
Pinnacol Workers Comp	$140	157%
Multiplan	$146 - $4,494	164%
Rocky Mountain Health Plan	$182	205%
Cigna	$202 - $3,196	227%
Vail Health	$380 - $759	427%
Kaiser	$499 - $1,773	561%
Bright Health	$749 - $1,498	842%
Colorado Program For Children With Special Needs	$1,049 - $2,097	1180%
Aetna	$1,318 - $2,637	1482%
Western Plains Community Health	$1,623 - $3,246	1825%
Northcare	$1,748 - $3,495	1966%
Physician Health Partners	$1,748 - $3,495	1966%
Medical Development International	$1,997 - $3,995	2246%
Prime Health	$2,247 - $4,494	2527%

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 $3,745.
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 The Medical Center of Aurora & South Hospital 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.