CMS Price Transparency Data

X-ray, shoulder

Facility: Surgical Specialty Center of Baton Rouge

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $91
Cash Discount Price: $1,007
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Surgical Specialty Center of Baton Rouge is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,007. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.02x the Medicare baseline. Located in 8080 Bluebonnet Blvd, Baton Rouge, LA.

Cash / Self-Pay

$1,007

Average discount available for prompt cash payment at this facility.

Insurance Median

$91

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: $1,007 (1133%)

Insurance Median: $91 (102%)

Cash: $1,007 (1133% of Medicare)

Ins. Median: $91 (102% 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
Aetna	$27 - $81	30%
Amerihealth	$27	30%
Healthy_Blue	$27	30%
Humana	$27 - $119	30%
Lhc	$27	30%
Medicaid / KanCare	$27	30%
United_Caid	$27	30%
Verity	$28	31%
Coventry	$29	33%
Workcomp_Cov	$29	33%
Ehn	$46	52%
Lsufirst	$74	83%
Cigna	$76	85%
Blue Cross Blue Shield	$79 - $99	89%
Medadv-Peoples	$79	89%
Medicare (plans)	$79	89%
Tricare	$79	89%
UnitedHealthcare	$79	89%
Va	$80	90%
Wellcare	$83	93%
Lucent	$110	124%
Ambetter / Centene	$164	184%
Workcomp_Saints	$181	204%
United	$182	205%
Uhc_Commcoffee	$355	399%
Gilsbar	$658	740%
Multiplan-Pos	$805	905%
Multiplan-Ppo	$805	905%
Ppoplus	$819	921%
Stjude	$872	981%
Bayou-Med	$939	1056%
Dma	$939	1056%
Lsu	$939	1056%
Southern-Univ	$939	1056%
Womans_Hosp	$939	1056%
Reny	$1,006	1131%
Workcomp_3R	$1,087	1223%
Three_Rivers	$1,141	1283%
Workcomp_Strat	$1,141	1283%
Geha	$1,181	1328%
Workcomp_Fp	$1,208	1359%
Usa_Mco	$1,261	1418%

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 $1,007.
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 Surgical Specialty Center of Baton Rouge 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.