CMS Price Transparency Data

X-ray, shoulder

Facility: Navicent Health Baldwin

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $48
Cash Discount Price: $133
vs. Medicare Baseline: 0.54x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Navicent Health Baldwin is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.54x the Medicare baseline. Located in 821 North Cobb Street, Milledgeville, GA.

Cash / Self-Pay

$133

Average discount available for prompt cash payment at this facility.

Insurance Median

$48

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: $133 (150%)

Insurance Median: $48 (54%)

Cash: $133 (150% of Medicare)

Ins. Median: $48 (54% 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
Aetna	$8 - $220	9%
Blue Cross Blue Shield	$8 - $199	9%
Georgia Health Advantage	$8 - $86	9%
Humana	$8 - $225	9%
UnitedHealthcare	$8 - $215	9%
Care Source	$9 - $88	10%
Clover	$9 - $88	10%
Eon Health	$9 - $88	10%
Pruitt Health	$9 - $86	10%
Alliant	$10 - $129	11%
Ambetter / Centene	$11 - $135	12%
Securehealth	$22 - $93	25%
Cigna	$24 - $204	27%
Multiplan	$172 - $212	193%
Novanet	$212	238%
Three Rivers Provider Network	$225	253%

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 $133.
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 Navicent Health Baldwin 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.