CMS Price Transparency Data

X-ray, shoulder

Facility: T J Samson Community Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $47
Cash Discount Price: $91
vs. Medicare Baseline: 0.53x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at T J Samson Community Hospital is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $91. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.53x the Medicare baseline. Located in 1301 North Race Street, Glasgow, KY.

Cash / Self-Pay

$91

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: $91 (102%)

Insurance Median: $47 (53%)

Cash: $91 (102% 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
Blue Cross Blue Shield	$9 - $398	10%
Center Care Select - All Plans	$9 - $398	10%
Devoted Mcr Adv - All Plans	$9 - $93	10%
Humana	$9 - $88	10%
Molina Mcr Adv	$9 - $90	10%
Signature Health - All Plans	$9 - $89	10%
Wellcare Mcr Adv - All Other Plans	$9 - $88	10%
Caresource - All Plans	$11 - $133	12%
Molina Marketplace - All Other Plans	$11 - $133	12%
Aetna	$23 - $46	26%
Wellcare Mcaid	$23 - $87	26%
Molina Mcaid	$24 - $47	27%
UnitedHealthcare	$182 - $364	205%
Phcs/Multiplan - All Plans	$220 - $440	247%
First Health - All Plans	$222 - $445	250%

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 $91.
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 T J Samson Community 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.