CMS Price Transparency Data

X-ray, shoulder

Facility: North Oaks Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $80
Cash Discount Price: $178
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at North Oaks Medical Center is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $178. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.90x the Medicare baseline. Located in 15790 Paul Vega Md Drive, Hammond, LA.

Cash / Self-Pay

$178

Average discount available for prompt cash payment at this facility.

Insurance Median

$80

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: $178 (200%)

Insurance Median: $80 (90%)

Cash: $178 (200% of Medicare)

Ins. Median: $80 (90% 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
Mco Lhc	$46	52%
Aetna	$47 - $558	53%
Humana	$47 - $493	53%
Mco Hb	$47	53%
Mco Lacare Am	$47	53%
Medicaid / KanCare	$47	53%
UnitedHealthcare	$47 - $315	53%
Tricare	$50 - $80	56%
Allwell	$80	90%
Blue Advantage	$80	90%
Champva	$80	90%
Healthy Blue Dual Advantage	$80	90%
Peoples Health	$80	90%
Vantage 65	$80	90%
Veterans Administration	$80	90%
Wellcare	$80	90%
Blue Cross Blue Shield	$175 - $178	197%
Verity Healthnet	$427	480%
Ppoplus Llc	$460	517%
Multiplan	$493	554%
Cigna	$519	584%

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 $178.
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 North Oaks Medical Center 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.