CMS Price Transparency Data

X-ray, shoulder

Facility: Parrish Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $440
  • Cash Discount Price: $434
  • vs. Medicare Baseline: 4.95x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Parrish Medical Center is $440. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $434. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.95x the Medicare baseline. Located in 951 N Washington Ave, Titusville, FL.
Cash / Self-Pay
$434

Average discount available for prompt cash payment at this facility.

Insurance Median
$440

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: $434 (488%)
Insurance Median: $440 (495%)
Cash: $434 (488% of Medicare)
Ins. Median: $440 (495% 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 495% of the Medicare baseline (a markup of 395%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Aetna $36 - $752 40%
Freedom Health $36 - $89 40%
Healthease/Staywell Of Florida Inc $36 - $53 40%
Humana $36 - $723 40%
Medicaid / KanCare $36 - $373 40%
Sunshine State Health Plan $36 - $53 40%
Molina Healthcare Of Florida $37 - $56 42%
Corvel Healthcare Corporation $39 - $477 44%
Florida Health Care Plan $55 - $110 62%
Veterans $68 76%
Webtpa $75 - $150 84%
Health First Health Plans $89 - $1,446 100%
Medicare (plans) $89 100%
Cigna $91 - $1,012 102%
Tricare $91 102%
UnitedHealthcare $94 - $998 106%
Careplus Health Plans Inc. $100 - $200 112%
Florida Health Care Plan Commercial $108 - $875 121%
Blue Cross Blue Shield $126 - $584 142%
Auto $182 205%
Pmc Hpi Employee Plan $275 - $549 309%
Pmc Preferred Benefit Administrators $275 - $549 309%
Brevard County Commissioners $347 - $694 390%
Brevard School Board $347 - $694 390%
Florida Mhs Inc $373 420%
Simply Healthcare Plans $373 420%
Coventry Healthcare $651 - $1,301 732%
Coventry Helthcare Inc $651 - $1,301 732%
First Health Group Corp $651 - $1,301 732%
Beech Street Corporation $687 - $1,374 773%
Multiplan Inc $687 - $1,374 773%
Private Healthcare Systems Inc $687 - $1,374 773%
Early Steps $723 - $1,446 813%
No Contract $723 - $1,446 813%
Self Pay $723 - $1,446 813%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 951 N Washington Ave, Titusville, FL 32796
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals