CMS Price Transparency Data

X-ray, shoulder

Facility: Cox Medical Centers

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $87
Cash Discount Price: $123
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Cox Medical Centers is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $123. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.98x the Medicare baseline. Located in 3801 South National Avenue, Springfield, MO.

Cash / Self-Pay

$123

Average discount available for prompt cash payment at this facility.

Insurance Median

$87

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: $123 (138%)

Insurance Median: $87 (98%)

Cash: $123 (138% of Medicare)

Ins. Median: $87 (98% 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
Parkcrest Dental Group	$49	55%
Coastal Energy Corporation	$50	56%
Heart Of America Beverage Company	$51	57%
Loren Cook	$52	58%
Springfieldgreene Co Library	$53	60%
Src Holdings Corporation	$53	60%
Ozark Anesthesia Assoc. Inc	$54	61%
Justice Furniture And Bedding Co	$55	62%
Missouri Affiliated School Consortium (Masc)	$55	62%
The Durham Company	$55	62%
Ozark County	$56	63%
Ozarks Cocacola	$56	63%
Flora Farms	$57	64%
Advanced Concrete Technology	$58	65%
Cox Healthplans	$87	98%
Health Net Federal Services	$87	98%
Humana	$87	98%
Medrisk Llc	$87	98%
UnitedHealthcare	$87 - $400	98%
Blue Cross Blue Shield	$88 - $616	99%
Allwell	$89	100%
Devoted	$93	105%
Provider Partners Health Plan	$93	105%
Texas Co Memorial Hospital	$133	150%
Bjc Health Solutions	$144	162%

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 $123.
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 Cox Medical Centers 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.