CMS Price Transparency Data

X-ray, shoulder

Facility: Orthocolorado Hosp at St Anthony Med Campus

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $134
Cash Discount Price: $594
vs. Medicare Baseline: 1.51x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Orthocolorado Hosp at St Anthony Med Campus is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $594. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.51x the Medicare baseline. Located in 11650 W 2Nd Pl, Lakewood, CO.

Cash / Self-Pay

$594

Average discount available for prompt cash payment at this facility.

Insurance Median

$134

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: $594 (668%)

Insurance Median: $134 (151%)

Cash: $594 (668% of Medicare)

Ins. Median: $134 (151% 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
UnitedHealthcare	$25 - $182	28%
Aetna	$26 - $100	29%
Blue Cross Blue Shield	$26 - $45	29%
Cigna	$26 - $127	29%
Devoted Health	$26	29%
Humana	$26	29%
Innovage	$26	29%
Kaiser	$26 - $409	29%
Medicare (plans)	$26	29%
Direct To Employer	$75 - $594	84%
Centura Employee Plan	$91	102%
Peak Health	$99 - $579	111%
Multiplan	$134 - $1,262	151%
United Colorado Doctor'S Plan	$182	205%
Denver Health	$269 - $350	303%

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 $594.
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 Orthocolorado Hosp at St Anthony Med Campus 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.