CMS Price Transparency Data

X-ray, shoulder

Facility: Ochsner Stennis Memorial Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $113
Cash Discount Price: $115
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Ochsner Stennis Memorial Hospital is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $115. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.27x the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.

Cash / Self-Pay

$115

Average discount available for prompt cash payment at this facility.

Insurance Median

$113

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: $115 (129%)

Insurance Median: $113 (127%)

Cash: $115 (129% of Medicare)

Ins. Median: $113 (127% 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
Cor Vel	$16 - $52	18%
Prime Health Services Ppo -Workers Comp	$16 - $51	18%
Humana	$24 - $315	27%
Cigna	$29 - $315	33%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$29 - $318	33%
Medicaid / KanCare	$29 - $210	33%
Medicare (plans)	$29 - $362	33%
UnitedHealthcare	$29 - $268	33%
Blue Cross Blue Shield	$31 - $187	35%
Shared Health Mississippi	$31 - $331	35%
Prime Health Services Ppo	$34 - $420	38%
Select Administrative Services Network	$38 - $368	43%
Ambetter / Centene	$41 - $318	46%
Aetna	$46 - $341	52%
Primewell Health Services Commercial Exchange Plan	$48 - $352	54%
Primewell Health Services – Commercial	$48 - $352	54%
Claritev D/B/A Multiplan/Phcs/American Life Care	$53 - $394	60%
Zelis	$53 - $394	60%

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 $115.
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 Ochsner Stennis Memorial 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.