CMS Price Transparency Data

X-ray, shoulder

Facility: Terrebonne General Medical Center - Parish

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $155
  • Cash Discount Price: $212
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Terrebonne General Medical Center - Parish is $155. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $212. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.74x the Medicare baseline. Located in 8166 Main Street, Houma, LA.
Cash / Self-Pay
$212

Average discount available for prompt cash payment at this facility.

Insurance Median
$155

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: $212 (238%)
Insurance Median: $155 (174%)
Cash: $212 (238% of Medicare)
Ins. Median: $155 (174% 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
Champ Va $22 25%
Medicaid / KanCare $51 57%
UnitedHealthcare $51 - $286 57%
Amerihealth $52 58%
Aetna $53 - $101 60%
Humana $54 - $237 61%
Ppoplus $55 62%
Blue Cross Blue Shield $78 - $199 88%
Dept Of Veterans Affairs $78 88%
Medicare (plans) $78 88%
Tricare $79 89%
Amg $83 93%
Verity Health $163 183%
Multiplan Inc $186 209%
Cigna $192 216%
Vantage Health Plan $197 222%
Coventry Health Of Louisiana $229 258%
Gilsbar 360 $231 260%
Workers Comp $286 322%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8166 Main Street, Houma, LA 70360
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals