CMS Price Transparency Data

X-ray, shoulder

Facility: Byrd Regional Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $447
Cash Discount Price: $227
vs. Medicare Baseline: 5.03x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Byrd Regional Hospital is $447. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $227. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.03x the Medicare baseline. Located in 1020 Fertitta Blvd, Leesville, LA.

Cash / Self-Pay

$227

Average discount available for prompt cash payment at this facility.

Insurance Median

$447

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: $227 (255%)

Insurance Median: $447 (503%)

Cash: $227 (255% of Medicare)

Ins. Median: $447 (503% 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 503% of the Medicare baseline (a markup of 403%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$24 - $756	27%
Coventry Healthcare Of La	$24 - $451	27%
Cigna	$46 - $481	52%
Amerihealth Caritas	$98 - $107	110%
Correct Care Int Hth	$98 - $107	110%
Healthy Blue	$98 - $107	110%
La Healthcare Conn Mdcaid	$98 - $107	110%
Medicaid / KanCare	$98 - $107	110%
UnitedHealthcare	$98 - $756	110%
Humana	$108 - $118	121%
Blue Cross Blue Shield	$138	155%
Self Pay	$227	255%
Verity Health	$529	595%
Us Dept Of Labor	$680	765%
Workers Comp	$680	765%
Aflac	$756	850%
American Health Advantage	$756	850%
Amfirst	$756	850%
Hospice Of Leesville	$756	850%
Industrial	$756	850%
Misc Comm	$756	850%
Mischmoppo	$756	850%
Mutual Of Omaha	$756	850%
Mva	$756	850%
Phcs Private Health	$756	850%
Physicans Mutual	$756	850%
State Farm Insurance	$756	850%
Sterling	$756	850%
Stonetrust	$756	850%
Tri Parish Rehab	$756	850%
United Teacher Asso	$756	850%
Web Tpa	$756	850%

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 $227.
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 Byrd Regional 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.