CMS Price Transparency Data

X-ray, shoulder

Facility: Hialeah Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $97
  • Cash Discount Price: $2,998
  • vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Hialeah Hospital is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,998. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.09x the Medicare baseline. Located in 651 E 25Th St, Hialeah, FL.
Cash / Self-Pay
$2,998

Average discount available for prompt cash payment at this facility.

Insurance Median
$97

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: $2,998 (3372%)
Insurance Median: $97 (109%)
Cash: $2,998 (3372% of Medicare)
Ins. Median: $97 (109% 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.

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 $14 - $2,590 16%
Dimension Health Wc $25 28%
Workers Compensation $25 28%
Avmed Broad Network $29 33%
Humana $36 - $170 40%
Medicaid / KanCare $36 - $37 40%
UnitedHealthcare $36 - $85 40%
Healthsun Health Plans $37 - $89 42%
Imagine Health $40 45%
Self Pay/Uninsured $43 - $107 48%
Employer Direct Healthcare $44 - $87 49%
Oscar Health Plan Hix $50 56%
Veterans Administration Mill Bill $60 67%
Medicare (plans) $77 - $186 87%
Devoted Health $85 96%
Leon Health Inc $85 96%
Tricare $86 97%
Bristol Hospice- Miami Dade Llc $87 98%
Catholic Hospice $87 98%
Comprehensive Home Health Care Dba Opuscare Of South Florida $87 98%
Hcr Manor Care Services Of Fl $87 98%
Hospice Other $87 98%
Odyssey Healthcare Of Marion County Dba Kindred Hospice $87 98%
Seasons Hospice And Pallative Care Of Southern Florida Inc $87 98%
Veterans Administration Vaccn $87 98%
Vitas Healthcare Hospice Corporation Of Fl $87 98%
Vitas Hospice Unit Agreement $87 98%
Cigna $89 - $1,058 100%
Longevity Health Plan $91 102%
Florida Pace Centers $102 115%
Bright Health Management Commercial $104 117%
Naphcare Inc $119 134%
Bc/Bs Myblue Hmo Hix $146 164%
Bc/Bs Of Fl Miami Dade Blue Select $148 166%
Avmed Exchange $152 171%
Bc/Bs Of Fl Simplyblue $154 173%
Ambetter / Centene $160 180%
Molina Marketplace Program Exchange $165 186%
Auto Insurance $173 195%
Avmed Select Network $177 199%
Amerihealth Caritas Next Exchange $186 209%
Bc/Bs Of Fl Network Blue $192 216%
Bc/Bs Of Fl Health Options Hmo $197 222%
Bc/Bs Of Fl Ppo $203 228%
Bc/Bs Of Fl Blue Select Exchange Non Par $214 241%
Bc/Bs Of Fl Phs $1,243 - $1,865 1398%
Dimensions International $1,559 - $2,338 1753%
First Health $1,631 - $2,446 1834%
Dimension Health Ppo $1,798 - $2,698 2022%
Commercial Non-Contracted $2,398 - $3,597 2697%
Self Pay - Mcd Pending 100 Percent $2,398 - $3,597 2697%
Single Case Agreement $2,398 - $3,597 2697%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 E 25Th St, Hialeah, FL 33013
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals