CMS Price Transparency Data

X-ray, shoulder

Facility: Ucf Lake Nona Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $983
Cash Discount Price: $3,464
vs. Medicare Baseline: 11.06x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Ucf Lake Nona Hospital is $983. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,464. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 11.06x the Medicare baseline. Located in 6700 Lake Nona Blvd, Orlando, FL.

Cash / Self-Pay

$3,464

Average discount available for prompt cash payment at this facility.

Insurance Median

$983

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: $3,464 (3896%)

Insurance Median: $983 (1106%)

Cash: $3,464 (3896% of Medicare)

Ins. Median: $983 (1106% 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 1106% of the Medicare baseline (a markup of 1006%). 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 - $1,638	205%
Avmed	$263 - $1,820	296%
Corvel Corporation	$438	493%
Prime Health	$447	503%
Simply	$506 - $560	569%
Molina Healthcare	$625 - $983	703%
Evolutions	$756 - $837	850%
Sunshine State Health Plan	$839 - $928	944%
Humana	$921 - $1,019	1036%
Aetna	$987 - $1,092	1110%
Plotkin Health	$1,644 - $1,820	1849%
Prime Health Sheriff	$1,644 - $1,820	1849%
Novanet	$2,960 - $3,275	3329%

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 $3,464.
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 Ucf Lake Nona 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.