CMS Price Transparency Data

X-ray, shoulder

Facility: Fairview Park Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $598
Cash Discount Price: $2,593
vs. Medicare Baseline: 6.73x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Fairview Park Hospital is $598. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,593. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.73x the Medicare baseline. Located in 200 Industrial Boulevard, Dublin, GA.

Cash / Self-Pay

$2,593

Average discount available for prompt cash payment at this facility.

Insurance Median

$598

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: $2,593 (2916%)

Insurance Median: $598 (673%)

Cash: $2,593 (2916% of Medicare)

Ins. Median: $598 (673% 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 673% of the Medicare baseline (a markup of 573%). 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
Blue Cross Blue Shield	$12 - $61	13%
Core Resources	$38	43%
Health One Alliance	$38	43%
Aetna	$47 - $1,801	53%
Ambetter / Centene	$104	117%
United	$182 - $1,470	205%
Prime Health	$221	249%
Employer'S Health Network	$226	254%
Rockport United Network	$226	254%
Identity Mco	$231	260%
Synergy Health Network	$231	260%
Amerigroup	$257 - $438	289%
Nhc Advantage	$365 - $621	411%
Pruitt Health	$365 - $621	411%
Peach State	$384 - $653	432%
Wellcare	$384 - $653	432%
Memorial Health Plan	$422 - $1,470	475%
Centurion	$531 - $904	597%
Americas 1St Choice	$537 - $915	604%
Leavitt Risk Partners	$576 - $980	648%
Dodge County Hospital	$960 - $1,633	1080%
American Steel Products	$1,631 - $2,776	1834%
City Of Eastman	$1,631 - $2,776	1834%
Dodge Co Board Of Commissioners	$1,631 - $2,776	1834%
Graham Brothers Construction	$1,631 - $2,776	1834%
Multiplan	$1,727 - $2,940	1942%
Novanet	$1,727 - $2,940	1942%

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 $2,593.
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 Fairview Park 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.