CMS Price Transparency Data

X-ray, shoulder

Facility: Abbeville General Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $78
Cash Discount Price: $125
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Abbeville General Hospital is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.88x the Medicare baseline. Located in 118 N Hospital Dr, Abbeville, LA.

Cash / Self-Pay

$125

Average discount available for prompt cash payment at this facility.

Insurance Median

$78

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: $125 (141%)

Insurance Median: $78 (88%)

Cash: $125 (141% of Medicare)

Ins. Median: $78 (88% 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
Cigna	$7 - $433	8%
Self Pay	$7 - $437	8%
Aetna	$9 - $611	10%
Humana	$9 - $655	10%
Triwest Healthcare Alliance	$9 - $568	10%
American Lifecare (Phcs)	$10 - $699	11%
Gilsbar Ppo	$10 - $677	11%
Ppo Plus	$10 - $655	11%
United Behavioral Health Inc	$10 - $655	11%
Verity Healthnet National	$10 - $655	11%
Coventry Company	$11 - $742	12%
Galaxy Health Network	$11 - $742	12%
Guardian Resources	$11 - $699	12%
UnitedHealthcare	$11 - $699	12%
Usa Managed Care	$11 - $742	12%
Health Payors Organization	$12 - $786	13%
Blue Cross Blue Shield	$13 - $154	15%
Magellan Behavioral Health	$13 - $143	15%
Miscellaneous Insurance	$13 - $873	15%
Ppo Plus Professional	$13 - $40	15%
Wellcare Of Louisiana	$13 - $873	15%
Vantage Health Plan	$24 - $1,572	27%
Healthy Blue	$78	88%
People'S Health	$78	88%
Medicare (plans)	$79	89%
Sierra Health And Life Insurance	$79	89%
Sterling Life Insurance Company	$79	89%
Office Of Group Benefits	$88	99%
Med-Comp Usa Inc	$117	132%

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 $125.
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 Abbeville General 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.