CMS Price Transparency Data

X-ray, shoulder

Facility: University Hospital and Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $1,084
Cash Discount Price: $3,844
vs. Medicare Baseline: 12.19x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at University Hospital and Medical Center is $1,084. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,844. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 12.19x the Medicare baseline. Located in 7201 N University Dr, Tamarac, FL.

Cash / Self-Pay

$3,844

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,084

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: $3,844 (4323%)

Insurance Median: $1,084 (1219%)

Cash: $3,844 (4323% of Medicare)

Ins. Median: $1,084 (1219% 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 1219% of the Medicare baseline (a markup of 1119%). 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
United	$182 - $2,306	205%
Freedom Health	$220 - $820	247%
Optimum	$220 - $441	247%
Avmed	$333 - $2,562	375%
Simply Healthcare Plans	$333 - $666	375%
Corvel Corporation	$480	540%
Molina	$487 - $1,384	548%
Careworks (Rockport)	$490	551%
Prime Health	$490	551%
Humana	$538 - $1,742	605%
Health Sun Health Plan	$546 - $1,092	614%
Mmm Of Fl (Health Advantage Plan)	$589 - $1,179	662%
United Ppo	$607 - $1,215	683%
Sunshine State Health Plan	$677 - $1,353	761%
Aetna	$769 - $1,537	865%
Plotkin Health	$1,281 - $2,562	1441%
Prime Health Sherriff	$1,281 - $2,562	1441%
Medica Healthcare	$1,486 - $2,972	1671%
Multiplan	$1,922 - $4,356	2162%
Evernorth Bh	$2,050 - $4,100	2306%

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 $3,844.
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 University Hospital and Medical Center 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.