CMS Price Transparency Data

X-ray, shoulder

Facility: Atrium Health Navicent Rehabilitation Hopsital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $47
Cash Discount Price: $446
vs. Medicare Baseline: 0.53x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Atrium Health Navicent Rehabilitation Hopsital is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $446. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.53x the Medicare baseline. Located in 3351 Northside Dr, Macon, GA.

Cash / Self-Pay

$446

Average discount available for prompt cash payment at this facility.

Insurance Median

$47

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: $446 (502%)

Insurance Median: $47 (53%)

Cash: $446 (502% of Medicare)

Ins. Median: $47 (53% 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 - $615	9%
Blue Cross Blue Shield	$8 - $88	9%
Georgia Health Advantage	$8 - $88	9%
Humana	$8 - $612	9%
UnitedHealthcare	$8 - $712	9%
Care Source	$9 - $90	10%
Clover	$9 - $90	10%
Eon Health	$9 - $90	10%
Pruitt Health	$9 - $88	10%
Alliant	$10 - $106	11%
Ambetter / Centene	$11 - $454	12%
Securehealth	$22 - $312	25%
Cigna	$24 - $78	27%
Kaiser	$32 - $579	36%
Ibg	$34 - $630	38%
Multiplan	$579 - $713	651%
Novanet	$713	802%
Three Rivers Provider Network	$757	851%
Beechstreet	$829	932%

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 $446.
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 Atrium Health Navicent Rehabilitation Hopsital 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.