CMS Price Transparency Data

X-ray, shoulder

Facility: Jeff Davis Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $174
  • Cash Discount Price: $79
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Jeff Davis Hospital is $174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.96x the Medicare baseline. Located in 163 South Tallahassee Street, Hazlehurst, GA.
Cash / Self-Pay
$79

Average discount available for prompt cash payment at this facility.

Insurance Median
$174

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: $79 (89%)
Insurance Median: $174 (196%)
Cash: $79 (89% of Medicare)
Ins. Median: $174 (196% 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
Medicaid / KanCare $42 - $127 47%
Humana $43 - $201 48%
Peach_State $43 - $47 48%
Wellcare $43 - $47 48%
Pen_Network $49 55%
Medicare (plans) $67 - $74 75%
Blue Cross Blue Shield $69 - $177 78%
Care_Improvement_Plus $69 - $75 78%
Coventry_Hmo $152 - $166 171%
Coventry_Pos $152 - $166 171%
Uhc_Hmo $163 - $177 183%
Uhc_Indemnity $163 - $177 183%
Uhc_Ppo $163 - $177 183%
Coventry_Ppo $167 - $182 188%
Beech_Street $174 - $189 196%
Care_Source $174 - $189 196%
Cigna $174 - $189 196%
One_Health_Ppo $174 - $189 196%
Choicecare $184 - $201 207%
Community_Care_Network $184 - $201 207%
Georgia_Hospital_Network $184 - $201 207%
Industry_Buying_Group $184 - $201 207%
Novanet $184 - $201 207%
Principal_Health_Care_Of_Georgia $184 - $201 207%
Three_Rivers_Provider_Network $184 - $201 207%
Usa_Managed_Care $184 - $201 207%
Memorial_Health_Partners $195 - $213 219%
Tricare $202 - $220 227%
Multiplan $206 - $225 232%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 163 South Tallahassee Street, Hazlehurst, GA 31539
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals