CMS Price Transparency Data

X-ray, shoulder

Facility: Ochsner Medical Center Acute

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $121
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 1.36x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Ochsner Medical Center Acute is $121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.36x the Medicare baseline. Located in 1516 Jefferson Hwy, New Orleans, LA.
Cash / Self-Pay
$48

Average discount available for prompt cash payment at this facility.

Insurance Median
$121

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: $48 (54%)
Insurance Median: $121 (136%)
Cash: $48 (54% of Medicare)
Ins. Median: $121 (136% 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
Humana $29 - $121 33%
UnitedHealthcare $29 - $273 33%
Aetna $30 - $133 34%
Amerihealth Caritas Louisiana (Healthy Louisiana) $30 - $61 34%
Healthy Blue (Healthy Louisiana) $30 - $60 34%
Louisiana Healthcare Connections (Healthy Louisiana) $30 - $60 34%
Tricare $32 - $121 36%
Blue Cross Blue Shield $56 - $121 63%
Medicaid / KanCare $67 - $106 75%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $81 - $121 91%
Healthy Blue Dual Advantage (Hmo-D-Snp) $81 - $121 91%
Medicare (plans) $81 - $121 91%
Ochsner Health Plan $81 - $121 91%
Pace New Orleans $89 - $133 100%
Cigna $113 - $227 127%
Christus Health Exchange Plan $121 - $181 136%
First Health Network $146 - $292 164%
Louisiana Workers' Compensation Corporation (Lwcc) $146 - $292 164%
Mississippi Physicians Care Network $146 - $292 164%
Healthcomp & Personify Health (Formerly Gilsbar) $154 - $308 173%
Claritev D/B/A Multiplan/Phcs/American Life Care $156 - $312 175%
Zelis $156 - $312 175%
Employers Health Network (Ehn) $166 - $332 187%
Prime Health Services Ppo $166 - $332 187%
Usa Managed Care Network $166 - $332 187%
Behavioral Health Systems $176 - $351 198%
Evolutions Healthcare $176 - $351 198%
Galaxy Health Network Ppo $176 - $351 198%
Galaxy Health Network Wc $176 - $351 198%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1516 Jefferson Hwy, New Orleans, LA 70121
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals