CMS Price Transparency Data

X-ray, shoulder

Facility: Bienville Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $264
Cash Discount Price: $293
vs. Medicare Baseline: 2.97x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Bienville Medical Center is $264. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $293. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.97x the Medicare baseline. Located in 1175 Pine Street, Arcadia, LA.

Cash / Self-Pay

$293

Average discount available for prompt cash payment at this facility.

Insurance Median

$264

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: $293 (330%)

Insurance Median: $264 (297%)

Cash: $293 (330% of Medicare)

Ins. Median: $264 (297% 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 297% of the Medicare baseline (a markup of 197%). 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	$29 - $488	33%
Medicaid / KanCare	$29 - $287	33%
Mmd Amerihealth Caritas	$29 - $287	33%
Mmd Healthy Blue	$29 - $287	33%
Mmd La Hlth Conn	$29 - $287	33%
Mmd Misc	$29 - $287	33%
UnitedHealthcare	$29 - $287	33%
Cashiering	$195 - $293	219%
Cigna	$244	274%
Ambetter / Centene	$264	297%
Humana	$264 - $315	297%
Mcr American Hlth Adv	$264	297%
Medicare (plans)	$264	297%
Misc Mgd Care	$264 - $488	297%
Mmc Blue Advantage	$264	297%
Mmc Misc	$264	297%
Peoples Health Mcr Adv	$264	297%
Va Health	$264	297%
Blue Cross Blue Shield	$294	331%
Wc City Of Arcadia	$440	495%
Wc House Of Raeford	$440	495%
Wc Misc	$440	495%
Wc Stonetrust	$440	495%
Aarp	$488	549%
Allegiance Health Managme	$488	549%
Amfirst	$488	549%
Apwu	$488	549%
Liberty Mutual	$488	549%
Misc Comm A-L	$488	549%
Misc Comm M-Z	$488	549%
Tricare	$488	549%

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 $293.
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 Bienville Medical Center 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.