CMS Price Transparency Data

X-ray, shoulder

Facility: Sky Ridge Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $1,172
Cash Discount Price: $4,319
vs. Medicare Baseline: 13.18x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Sky Ridge Medical Center is $1,172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,319. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 13.18x the Medicare baseline. Located in 10101 Ridgegate Pkwy, Lone Tree, CO.

Cash / Self-Pay

$4,319

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,172

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: $4,319 (4858%)

Insurance Median: $1,172 (1318%)

Cash: $4,319 (4858% of Medicare)

Ins. Median: $1,172 (1318% 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 1318% of the Medicare baseline (a markup of 1218%). 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 - $4,261	25%
United	$138 - $2,591	155%
Pinnacol Workers Comp	$140	157%
Multiplan	$146 - $5,183	164%
Rocky Mountain Health Plan	$182	205%
Cigna	$218 - $3,685	245%
Vail Health	$438 - $875	493%
Kaiser	$576 - $2,044	648%
Bright Health	$864 - $1,728	972%
Aetna	$1,520 - $3,040	1710%
Western Plains Community Health	$1,872 - $3,743	2105%
Northcare	$2,015 - $4,031	2266%
Physician Health Partners	$2,015 - $4,031	2266%
Medical Development International	$2,303 - $4,607	2590%
Prime Health	$2,591 - $5,183	2914%

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 $4,319.
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 Sky Ridge 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.