CMS Price Transparency Data

X-ray, shoulder

Facility: Parkland Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $475
Cash Discount Price: $1,167
vs. Medicare Baseline: 5.34x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Parkland Medical Center is $475. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,167. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.34x the Medicare baseline. Located in 1 Parkland Drive, Derry, NH.

Cash / Self-Pay

$1,167

Average discount available for prompt cash payment at this facility.

Insurance Median

$475

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: $1,167 (1313%)

Insurance Median: $475 (534%)

Cash: $1,167 (1313% of Medicare)

Ins. Median: $475 (534% 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 534% of the Medicare baseline (a markup of 434%). 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
Amerihealth Caritas	$26 - $46	29%
Blue Cross Blue Shield	$47 - $223	53%
Well Sense Health Plan	$62 - $113	70%
United	$175 - $912	197%
Harvard Pilgrim	$200 - $676	225%
Maine Community Health	$260 - $796	292%
Tufts Health Plan	$475 - $885	534%
Aetna	$495 - $1,004	557%
Mvp Health Plan	$582 - $1,052	655%
Corvel	$598 - $1,082	673%
Evernorth	$665 - $1,202	748%
Healthcare Value Mgmt	$698 - $1,262	785%
First Health	$707 - $1,277	795%
Oxford Health Plans	$790 - $1,427	889%
Cigna	$1,939	2181%

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 $1,167.
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 Parkland 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.