CMS Price Transparency Data

X-ray, shoulder

Facility: Tift Regional Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $120
  • Cash Discount Price: $117
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Tift Regional Medical Center is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.35x the Medicare baseline. Located in 901 E 18Th Street, Tifton, GA.
Cash / Self-Pay
$117

Average discount available for prompt cash payment at this facility.

Insurance Median
$120

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: $117 (132%)
Insurance Median: $120 (135%)
Cash: $117 (132% of Medicare)
Ins. Median: $120 (135% 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.

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
Wellcare $10 - $149 11%
Amerigroup $12 - $170 13%
Medicaid / KanCare $12 - $170 13%
Peachstate $12 - $179 13%
Caresource $13 - $187 15%
Blue Cross Blue Shield $20 - $757 22%
Humana $26 - $378 29%
Self Pay 50 $26 - $378 29%
Tricare $30 - $266 34%
Peach State Health Plan $35 39%
Health One Alliance $44 - $118 49%
UnitedHealthcare $44 - $640 49%
Aetna $45 - $654 51%
Caresource Marketplace Exchange $46 - $122 52%
Misc Commercial Insurance Plans $46 - $681 52%
Self Pay $46 - $681 52%
Cigna $47 - $691 53%
Misc Non Contracted Commercial Plans $52 - $757 58%
Zelis Network Solutions $52 - $163 58%
Va Contract $61 69%
Hospice $80 90%
Medicare (plans) $80 90%
Clover Health $82 92%
Pruitt Health Premier $88 99%
Ga Workers Comp $104 117%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 E 18Th Street, Tifton, GA 31794
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals