CMS Price Transparency Data

X-ray, shoulder

Facility: Atrium Health Floyd Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $167
Cash Discount Price: $391
vs. Medicare Baseline: 1.88x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Atrium Health Floyd Medical Center is $167. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $391. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.88x the Medicare baseline. Located in 304 Turner McCall Boulevard, Rome, GA.

Cash / Self-Pay

$391

Average discount available for prompt cash payment at this facility.

Insurance Median

$167

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: $391 (440%)

Insurance Median: $167 (188%)

Cash: $391 (440% of Medicare)

Ins. Median: $167 (188% 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.

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
Blue Cross Blue Shield	$86 - $584	97%
Caresource	$86 - $133	97%
Cigna	$86 - $469	97%
Georgia Assurance	$86	97%
Humana	$86 - $508	97%
UnitedHealthcare	$86 - $586	97%
Aetna	$87 - $532	98%
Clover	$88	99%
Wellcare	$88	99%
Alliant Health Plans	$129 - $313	145%
Ambetter / Centene	$129	145%
Amerigroup	$132	148%
Peach State Health Plan	$133	150%
Oscar Health Plan	$152 - $274	171%
Awc Networks	$153	172%
Occunet	$172	193%
Beacon	$391	440%
Evernorth	$391	440%
Multiplan	$547	615%
Beech Street	$610	686%
Private Health Care Systems	$665	748%

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 $391.
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 Atrium Health Floyd 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.