CMS Price Transparency Data

X-ray, shoulder

Facility: Sarasota Memorial Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $41
Cash Discount Price: $441
vs. Medicare Baseline: 0.46x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Sarasota Memorial Hospital is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $441. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.46x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.

Cash / Self-Pay

$441

Average discount available for prompt cash payment at this facility.

Insurance Median

$41

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: $441 (496%)

Insurance Median: $41 (46%)

Cash: $441 (496% of Medicare)

Ins. Median: $41 (46% 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
Amerihealth Caritas Oncology	$5 - $21	6%
Community Care Plan Oncology	$5 - $21	6%
Molina Oncology	$5 - $20	6%
Simply Healthcare Oncology	$5 - $20	6%
Sunshine State Oncology	$5 - $20	6%
Florida Community Care Oncology	$6 - $41	7%
Blue Cross Blue Shield	$9 - $88	10%
UnitedHealthcare	$9 - $1,104	10%
Aetna	$10 - $1,176	11%
Simply Freedom Optimum Oncology	$10 - $36	11%
Wellcare Oncology	$10 - $36	11%
Oscar Oncology	$15 - $56	17%
Ambetter / Centene	$24 - $239	27%
Simply Healthcare	$36 - $37	40%
Sunshine State	$37	42%
Molina	$38	43%
Amerihealth Caritas	$39	44%
Community Care Plan	$39	44%
Florida Community Care	$39 - $97	44%
Simply Freedom Optimum	$93	105%
Wellcare	$93	105%
Careworks	$381 - $484	429%
Enlyte	$381 - $484	429%
Avmed	$537 - $1,073	604%
Usa Managed Care	$588 - $1,176	661%
First Health	$610 - $1,220	686%

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 $441.
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 Sarasota Memorial Hospital 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.