CMS Price Transparency Data

X-ray, shoulder

Facility: Santa Rosa Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $91
  • Cash Discount Price: $623
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Santa Rosa Medical Center is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $623. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.02x the Medicare baseline. Located in 6002 Berryhill Rd, Milton, FL.
Cash / Self-Pay
$623

Average discount available for prompt cash payment at this facility.

Insurance Median
$91

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: $623 (701%)
Insurance Median: $91 (102%)
Cash: $623 (701% of Medicare)
Ins. Median: $91 (102% 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 $20 - $1,399 22%
Medicaid / KanCare $36 - $41 40%
Humana $37 - $89 42%
Wellcare $37 42%
Molina $40 45%
Prime Health Work Comp Fl $40 45%
Fl Community Care $41 46%
Florida Workers Compensation $41 46%
Veterans Eval Services $84 94%
Tricare $86 97%
Blue Cross Blue Shield $89 - $639 100%
Cigna $89 - $564 100%
Medicare (plans) $89 100%
UnitedHealthcare $89 - $734 100%
Hospice Of Nw Fl $91 102%
Node Champva $91 102%
Node Va $91 102%
Node Wellcare Mcr Adv $94 106%
Geo Group $114 128%
Node Us Dept Of Labor $114 128%
Oscar $169 190%
Florida State Auto Insurance $182 205%
Ambetter / Centene $217 244%
Self Pay $574 646%
Prime Health Services $1,995 2244%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6002 Berryhill Rd, Milton, FL 32570
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals