CMS Price Transparency Data

X-ray, shoulder

Facility: Connecticut Childrens Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $139
Cash Discount Price: $137
vs. Medicare Baseline: 1.56x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Connecticut Childrens Medical Center is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $137. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.56x the Medicare baseline. Located in 282 Washington Street, Hartford, CT.

Cash / Self-Pay

$137

Average discount available for prompt cash payment at this facility.

Insurance Median

$139

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: $137 (154%)

Insurance Median: $139 (156%)

Cash: $137 (154% of Medicare)

Ins. Median: $139 (156% 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
Blue Cross Blue Shield	$80 - $172	90%
Unicare [100148]	$80 - $172	90%
Wellpoint [100150]	$80 - $172	90%
Cigna	$86 - $197	97%
Great West Healthcare [100107]	$86 - $197	97%
Health Partners [110229]	$86 - $197	97%
Mvp Health Plan [100144]	$86 - $197	97%
Tufts Health Plan [100114]	$86 - $197	97%
Aetna	$88 - $192	99%
1199 National Benefit Fund [100134]	$97 - $192	109%
Government Employees Hospital Assoc [100115]	$97 - $192	109%
Humana	$97 - $192	109%
Meritain Health [100149]	$97 - $192	109%
Nippon Life Ins Co Of America [100112]	$97 - $192	109%
Yale Health Plan [100162]	$97 - $192	109%
Connecticare [100105]	$99 - $123	111%
Emblem Health Commercial [1001108]	$99 - $123	111%
Medicaid / KanCare	$99 - $123	111%
UnitedHealthcare	$99 - $192	111%
Golden Rule [100106]	$139 - $192	156%
Harvard Pilgrim [1001134]	$139 - $192	156%
Oxford [100103]	$139 - $192	156%
Multiplan [1001126]	$166 - $194	187%
Cdphp/Comm [100199]	$194	218%
Generic Multiplan [1001130]	$194	218%
Ultrabenefits/Comm [100181]	$194	218%

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 $137.
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 Connecticut Childrens 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.