CMS Price Transparency Data

X-ray, shoulder

Facility: Baptist Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $189
Cash Discount Price: $189
vs. Medicare Baseline: 2.13x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Baptist Hospital is $189. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $189. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.13x the Medicare baseline. Located in 123 Baptist Way, Pensacola, FL.

Cash / Self-Pay

$189

Average discount available for prompt cash payment at this facility.

Insurance Median

$189

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: $189 (213%)

Insurance Median: $189 (213%)

Cash: $189 (213% of Medicare)

Ins. Median: $189 (213% 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 213% of the Medicare baseline (a markup of 113%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$10 - $1,378	11%
Pensacola	$14 - $283	16%
UnitedHealthcare	$24 - $500	27%
Hospice Regency	$27 - $566	30%
Cha Health Plan	$36	40%
Humana	$37 - $90	42%
Mh Sunshine Mcaid	$37	42%
Staywell	$37	42%
Sunshine Health	$37	42%
Fl Community Care Ltc	$38	43%
Simply Healthcare Healthy Kids	$41	46%
Cigna	$43 - $1,887	48%
Hospice Emerald Coast	$45 - $944	51%
Uwf Athletes	$50 - $1,227	56%
Escambia	$54 - $1,132	61%
Private Healthcare	$58 - $1,227	65%
First Health	$63 - $1,311	71%
Wc Corvel	$64 - $1,793	72%
Choicecare	$68 - $1,415	76%
Mh Choicecare	$68 - $1,415	76%
Multiplan	$80 - $1,679	90%
Hospice Covenant	$88	99%
Medicare (plans)	$88	99%
Healthspring Of Fl Al	$91	102%
Mh Wellcare	$93	105%
Wellcare	$93	105%
Fl Blue	$133 - $516	150%
Bc Fl	$372	418%

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 $189.
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 Baptist 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.