CMS Price Transparency Data

X-ray, shoulder

Facility: Our Lady of the Lake Surgical Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $81
Cash Discount Price: $97
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Our Lady of the Lake Surgical Hospital is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $97. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.91x the Medicare baseline. Located in 1700 W Lindberg Drive, Slidell, LA.

Cash / Self-Pay

$97

Average discount available for prompt cash payment at this facility.

Insurance Median

$81

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: $97 (109%)

Insurance Median: $81 (91%)

Cash: $97 (109% of Medicare)

Ins. Median: $81 (91% 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	$33 - $161	37%
Amerihealth Caritas	$33	37%
Louisiana Healthcare Connection	$33	37%
UnitedHealthcare	$33 - $117	37%
Blue Cross Blue Shield	$66 - $82	74%
Triwest	$77	87%
Healthy Blue	$81	91%
Humana	$81 - $122	91%
Lhc (Allwell)	$81	91%
Peoples Health	$81 - $194	91%
Vantage Health Plan Inc.	$81 - $137	91%
Wellcare Health Plan Inc	$81	91%
First Health	$146	164%
Womans Hospital Employees	$150	169%
Gilsbar 360	$185	208%
Medical Cost Containment Professionals	$194	218%
Usa Managed Care Organization	$202	227%
Three Rivers Provider Network	$204	229%
Hs Technology	$209	235%

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 $97.
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 Our Lady of the Lake Surgical 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.