CMS Price Transparency Data

X-ray, shoulder

Facility: Piedmont Columbus Regional Northside

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $83
Cash Discount Price: $168
vs. Medicare Baseline: 0.93x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Piedmont Columbus Regional Northside is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.93x the Medicare baseline. Located in 100 Frist Court, Columbus, GA.

Cash / Self-Pay

$168

Average discount available for prompt cash payment at this facility.

Insurance Median

$83

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: $168 (189%)

Insurance Median: $83 (93%)

Cash: $168 (189% of Medicare)

Ins. Median: $83 (93% 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
Cigna	$41 - $57	46%
Alliant Health Plans Of Georgia [10952]	$58	65%
Blue Cross Blue Shield	$58 - $84	65%
Medicaid / KanCare	$65 - $66	73%
UnitedHealthcare	$216	243%
Kaiser [10500]	$374	421%
Phcs [10601]	$391	440%
Novanet [10819]	$419	471%
Aetna	$444	499%
First Health [10303]	$447	503%
Multiplan [10600]	$475	534%

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 $168.
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 Piedmont Columbus Regional Northside 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.