CMS Price Transparency Data

X-ray, shoulder

Facility: Grady Memorial Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $44
Cash Discount Price: $1,134
vs. Medicare Baseline: 0.49x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Grady Memorial Hospital is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,134. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.49x the Medicare baseline. Located in 80 Jesse Hill, Jr Drive Se, Atlanta, GA.

Cash / Self-Pay

$1,134

Average discount available for prompt cash payment at this facility.

Insurance Median

$44

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: $1,134 (1275%)

Insurance Median: $44 (49%)

Cash: $1,134 (1275% of Medicare)

Ins. Median: $44 (49% 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
Amerigroup	$8 - $184	9%
Caresource	$8 - $169	9%
Peach State	$8 - $169	9%
Aetna	$9 - $505	10%
Ambetter / Centene	$9 - $168	10%
Blue Cross Blue Shield	$9 - $907	10%
Cigna	$9 - $671	10%
Clear Spring Health	$9 - $92	10%
Clover	$9 - $92	10%
Humana	$9 - $88	10%
Kaiser	$9 - $860	10%
Medicare (plans)	$9 - $88	10%
UnitedHealthcare	$9 - $816	10%
Vaccn	$9 - $88	10%
Wellcare	$9 - $88	10%
Usp Naphcare	$10 - $680	11%
Oscar Health	$12 - $737	13%
Multiplan	$873	982%

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 $1,134.
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 Grady Memorial 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.