CMS Price Transparency Data

X-ray, shoulder

Facility: Northern Louisiana Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $610
  • Cash Discount Price: $478
  • vs. Medicare Baseline: 6.86x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Northern Louisiana Medical Center is $610. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $478. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.86x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$478

Average discount available for prompt cash payment at this facility.

Insurance Median
$610

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: $478 (538%)
Insurance Median: $610 (686%)
Cash: $478 (538% of Medicare)
Ins. Median: $610 (686% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 686% of the Medicare baseline (a markup of 586%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $38 - $677 43%
UnitedHealthcare $46 - $678 52%
First Health $64 - $959 72%
Blue Cross Blue Shield $87 - $161 98%
Medicaid / KanCare $87 - $1,128 98%
Humana $96 - $178 108%
Golden Rule Ins $228 - $678 256%
Verity Healthnet $299 - $553 336%
Cigna $305 - $564 343%
Kaiser Permanente $305 - $564 343%
Gilsbar $335 - $621 377%
Self Pay $335 - $621 377%
Geha $488 - $1,072 549%
Multiplan $518 - $959 583%
Phcs $518 - $959 583%
Work Comp City Of Ruston $549 - $1,016 617%
Work Comp First Health $549 - $1,016 617%
Work Comp Nlmc Emp $549 - $1,016 617%
Workers Compensation $549 - $1,016 617%
Aarp $610 - $1,128 686%
Aflc American Family Life $610 - $1,128 686%
American Life Accident $610 - $1,128 686%
Apwu Health Plan $610 - $1,128 686%
Bankers Life And Casualty $610 - $1,128 686%
Benefit Trust Life $610 - $1,128 686%
Crime Victims Compensatio $610 - $1,128 686%
Equitable $610 - $1,128 686%
Fox Everett Inc $610 - $1,128 686%
Gmp Employers Retiree Tru $610 - $1,128 686%
Gsu Athletics $610 - $1,128 686%
Guarantee Trust Life Ins $610 - $1,128 686%
Healthfirst Tpa $610 - $1,128 686%
Hospice Of Caring Hearts $610 - $1,128 686%
Ima Insurance $610 - $1,128 686%
Industrial Accounts $610 - $1,128 686%
Liberty Healthshare $610 - $1,128 686%
Liberty Mutual Group $610 - $1,128 686%
Lifecare Specialty Hosp $610 - $1,128 686%
Lin Parish Detention $610 - $1,128 686%
Lincoln Kidney Center $610 - $1,128 686%
Ltu Athletics $610 - $1,128 686%
Ltu Student Ins Bollinger $610 - $1,128 686%
Mcr American Hlth Adv $610 - $1,128 686%
Misc Commercial $610 - $1,128 686%
Mva Insurance Payors $610 - $1,128 686%
Nalc Health Benefit Plan $610 - $1,128 686%
Nalc Natl Assoc Ltr Carri $610 - $1,128 686%
Newera $610 - $1,128 686%
Nlmc Community Services $610 - $1,128 686%
Physicians Mutual Ins $610 - $1,128 686%
Premier Hospice $610 - $1,128 686%
Principal Mutual Life Ins $610 - $1,128 686%
Protective Life Ins $610 - $1,128 686%
Ruston Regional Specialty $610 - $1,128 686%
Specialty Hosp Of Winnfie $610 - $1,128 686%
State Farm Insurance $610 - $1,128 686%
State Mutual Ins $610 - $1,128 686%
Sterling Investors Life $610 - $1,128 686%
The Hartford $610 - $1,128 686%
Union Bankers Insurance C $610 - $1,128 686%
Union Fidelity Life Ins $610 - $1,128 686%
United American $610 - $1,128 686%
United Teachers Ins $610 - $1,128 686%
Us Dept Of Labor $610 - $1,128 686%
Washington National Ins $610 - $1,128 686%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals