CMS Price Transparency Data

X-ray, shoulder

Facility: Caromont Regional Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $121
  • Cash Discount Price: $552
  • vs. Medicare Baseline: 1.36x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Caromont Regional Medical Center is $121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $552. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.36x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.
Cash / Self-Pay
$552

Average discount available for prompt cash payment at this facility.

Insurance Median
$121

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: $552 (621%)
Insurance Median: $121 (136%)
Cash: $552 (621% of Medicare)
Ins. Median: $121 (136% 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.

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
Blue Cross Blue Shield $55 - $243 62%
Carolina Complete Health $55 - $111 62%
Partners Behavioral Health $55 - $111 62%
Alliance Behavioral Health $56 - $113 63%
Amerihealth Caritas $56 - $113 63%
Carolina Complete Health Tailored Plans $56 - $113 63%
UnitedHealthcare $56 - $128 63%
Vaya Behavioral Health $56 - $113 63%
Wellcare $56 - $113 63%
Aetna $92 - $238 103%
Devoted Health $93 105%
Healthteam $93 105%
Longevity Health $93 105%
Molina $93 - $207 105%
Humana $95 - $648 107%
Absolute Total Care $103 - $207 116%
Gaston County Jail $110 - $222 124%
Cigna $123 - $165 138%
Surgery Plus $156 175%
Carolina Caring $222 - $583 250%
Corporate Benefits Service $239 269%
Medcost $250 - $500 281%
Beech Street $301 - $604 339%
Multiplan $301 - $604 339%
Self Pay $330 - $552 371%
First Health Network $349 - $699 393%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2525 Court Dr, Gastonia, NC 28052
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals