CMS Price Transparency Data
X-ray, shoulder
Facility: Avoyelles Hospital
Billing Code: 73030 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73030
- Insurance Median: $473
- Cash Discount Price: $213
- vs. Medicare Baseline: 5.32x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Avoyelles Hospital is $473. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $213. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.32x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$213
Average discount available for prompt cash payment at this facility.
Insurance Median
$473
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: $213 (240%)
Insurance Median: $473 (532%)
Cash: $213 (240% of Medicare)
Ins. Median: $473 (532% 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 532% of the Medicare baseline (a markup of 432%). 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.
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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 | $35 - $531 | 39% |
| Amer Contl Ins | $35 - $531 | 39% |
| Coventry | $35 - $531 | 39% |
| First Choice Health | $35 - $531 | 39% |
| Meritan Health | $35 - $945 | 39% |
| Cigna | $98 - $533 | 110% |
| Correct Cr Int Hlt | $98 - $197 | 110% |
| Mcd Amerihealth Caritas | $98 - $197 | 110% |
| Mcd Healthy Blue | $98 - $197 | 110% |
| Mcd La Hc Conn | $98 - $197 | 110% |
| Medicaid / KanCare | $98 - $197 | 110% |
| UnitedHealthcare | $98 - $197 | 110% |
| Mcd Ms | $108 - $216 | 121% |
| Blue Cross Blue Shield | $125 | 141% |
| Ofc Of Grp Bene | $125 | 141% |
| Student Assurances | $142 - $945 | 160% |
| Humana | $170 - $536 | 191% |
| Ppo Plus Llc | $284 - $567 | 319% |
| Zelis Healthcare Bpa | $284 - $567 | 319% |
| Gilsbar | $298 - $595 | 335% |
| Amerind | $425 - $850 | 478% |
| Applied Underwriters | $425 - $850 | 478% |
| Sedgwick | $425 - $850 | 478% |
| Us Dept Of Labor | $425 - $850 | 478% |
| Wc Clms Admin Svcs | $425 - $850 | 478% |
| Wc Clms Mgmnt Walmart | $425 - $850 | 478% |
| Wc Esis | $425 - $850 | 478% |
| Wc Fara | $425 - $850 | 478% |
| Wc Gallagher Bassett | $425 - $850 | 478% |
| Wc Guide One | $425 - $850 | 478% |
| Wc Hartford Med | $425 - $850 | 478% |
| Wc Luba | $425 - $850 | 478% |
| Wc Lwcc | $425 - $850 | 478% |
| Wc Paragon Casino Resort | $425 - $850 | 478% |
| Wc Risk Mgmnt | $425 - $850 | 478% |
| Wc Stone Trust | $425 - $850 | 478% |
| Wc Summit Consulting Hold | $425 - $850 | 478% |
| Wc Travelers Ins | $425 - $850 | 478% |
| Wc Trs Workers Comp Claim | $425 - $850 | 478% |
| Wc Us Dol | $425 - $850 | 478% |
| Wc Zurich | $425 - $850 | 478% |
| Aarp | $472 - $945 | 531% |
| Admin Concepts | $472 - $945 | 531% |
| All Saints Hospice | $472 - $945 | 531% |
| All State | $472 - $945 | 531% |
| Allegiance Health Hospice | $472 - $945 | 531% |
| Allied Natl | $472 - $945 | 531% |
| Amfirst | $472 - $945 | 531% |
| Avoy Parish School Board | $472 - $945 | 531% |
| Avoyelles Parish Sheriff | $472 - $945 | 531% |
| Bollinger | $472 - $945 | 531% |
| Ccmsi | $472 - $945 | 531% |
| Central States | $472 - $945 | 531% |
| Christus Health Plan | $472 - $945 | 531% |
| Compassionate Care Hospic | $472 - $945 | 531% |
| Core Source | $472 - $945 | 531% |
| Coushatta Hlth Dept | $472 - $945 | 531% |
| Ebms | $472 - $945 | 531% |
| Federated Ins | $472 - $945 | 531% |
| Feedom Life | $472 - $945 | 531% |
| Fidelity Standard Life Co | $472 - $945 | 531% |
| Fox Everette | $472 - $945 | 531% |
| Guarantee Trust | $472 - $945 | 531% |
| Heart Of Hospice | $472 - $945 | 531% |
| Hos Christus Hospice | $472 - $945 | 531% |
| Hos Guardian Hospice Care | $472 - $945 | 531% |
| Hos Harbor Hospice Alex | $472 - $945 | 531% |
| Hos La Hospice Palliative | $472 - $945 | 531% |
| Hos Passages Hospice N. | $472 - $945 | 531% |
| Hos St Joseph Hospice | $472 - $945 | 531% |
| Hospice Miscellaneous | $472 - $945 | 531% |
| Ins Mgmnt Admin | $472 - $945 | 531% |
| Ins Tpa | $472 - $945 | 531% |
| Liberty Health Share | $472 - $945 | 531% |
| Lumico | $472 - $945 | 531% |
| Manhattan Life Ins | $472 - $945 | 531% |
| Medi Share | $472 - $945 | 531% |
| Misc Comm | $472 - $945 | 531% |
| Nalc | $472 - $945 | 531% |
| New Era Life | $472 - $945 | 531% |
| North American | $472 - $945 | 531% |
| Phcs | $472 - $945 | 531% |
| Physicians Mutual | $472 - $945 | 531% |
| Pipeline Ind Bene | $472 - $945 | 531% |
| Progressive Auto | $472 - $945 | 531% |
| Reliance Standard Life | $472 - $945 | 531% |
| Rural Carriers | $472 - $945 | 531% |
| Shelter Ins Co | $472 - $945 | 531% |
| Sierre Health And Life | $472 - $945 | 531% |
| State Farm | $472 - $945 | 531% |
| State Mutual | $472 - $945 | 531% |
| Sterling Investors | $472 - $945 | 531% |
| The Health Plan | $472 - $945 | 531% |
| Tribal Hlth Partners | $472 - $945 | 531% |
| Tricare | $472 - $945 | 531% |
| Trustmark Health Benefits | $472 - $945 | 531% |
| Tunica Biloxi | $472 - $945 | 531% |
| Uct | $472 - $945 | 531% |
| Unified Life | $472 - $945 | 531% |
| Usaa Life Ins | $472 - $945 | 531% |
| Web-Tpa | $472 - $945 | 531% |
| Woodmen Of The World | $472 - $945 | 531% |