CMS Price Transparency Data
X-ray, shoulder
Facility: Palmetto General Hospital
Billing Code: 73030 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73030
- Insurance Median: $150
- Cash Discount Price: $2,627
- vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Palmetto General Hospital is $150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,627. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.69x the Medicare baseline. Located in 2001 W 68Th St, Hialeah, FL.
Cash / Self-Pay
$2,627
Average discount available for prompt cash payment at this facility.
Insurance Median
$150
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: $2,627 (2955%)
Insurance Median: $150 (169%)
Cash: $2,627 (2955% of Medicare)
Ins. Median: $150 (169% 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
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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 - $2,238 | 16% |
| Dimension Health Wc | $25 | 28% |
| Workers Compensation | $25 | 28% |
| Avmed Broad Network | $31 | 35% |
| Humana | $36 - $170 | 40% |
| Medicaid / KanCare | $36 - $3,152 | 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 - $3,152 | 87% |
| Devoted Health | $85 | 96% |
| Leon Health Inc | $85 | 96% |
| Tricare | $86 | 97% |
| Bristol Hospice- Miami Dade Llc | $87 | 98% |
| Catholic Hospice | $87 | 98% |
| Compassionate Care Hospice Of Miami Dade And The Fl Keys Inc | $87 | 98% |
| Hospice Other | $87 | 98% |
| Ima Evalutations Inc | $87 | 98% |
| Odyssey Healthcare Of Marion County Dba Kindred Hospice | $87 | 98% |
| Opuscare Of South Fl | $87 | 98% |
| Seasons Hospice And Pallative Care Of Southern Florida Inc | $87 | 98% |
| Select Specialty Hospital | $87 | 98% |
| Veterans Administration Vaccn | $87 | 98% |
| Vitas Healthcare Hospice | $87 | 98% |
| Westchester General Hospital | $87 | 98% |
| Cigna | $89 - $1,576 | 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 | $144 | 162% |
| Bc/Bs Of Fl Miami Dade Blue Select | $148 | 166% |
| Avmed Exchange | $152 | 171% |
| Bc/Bs Of Fl Simplyblue | $152 | 171% |
| 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 | $190 | 214% |
| Bc/Bs Of Fl Health Options Hmo | $193 | 217% |
| Bc/Bs Of Fl Ppo | $203 | 228% |
| Bc/Bs Of Fl Blue Select Exchange Non Par | $211 | 237% |
| Liga Contra El Cancer | $1,051 - $1,576 | 1182% |
| Bc/Bs Of Fl Phs | $1,054 - $1,582 | 1185% |
| Magellan Behavioral Health | $1,261 - $1,891 | 1418% |
| Dimensions International | $1,366 - $2,049 | 1536% |
| First Health | $1,408 - $2,112 | 1584% |
| Dimension Health Ppo | $1,576 - $2,364 | 1773% |
| Beacon Health Strategies Commercial | $2,102 - $3,152 | 2364% |
| Commercial Non-Contracted | $2,102 - $3,152 | 2364% |
| Self Pay - Mcd Pending 100 Percent | $2,102 - $3,152 | 2364% |
| Single Case Agreement | $2,102 - $3,152 | 2364% |
| United Behavioral Health Psych | $2,102 - $3,152 | 2364% |