CMS Price Transparency Data

X-ray, shoulder

Facility: Hackensack University Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $109
Cash Discount Price: $104
vs. Medicare Baseline: 1.23x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Hackensack University Medical Center is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.23x the Medicare baseline. Located in 30 Prospect Ave, Hackensack, NJ.

Cash / Self-Pay

$104

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $104 (117%)

Insurance Median: $109 (123%)

Cash: $104 (117% of Medicare)

Ins. Median: $109 (123% 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
Karna	$17 - $68	19%
Horizon	$25 - $843	28%
Amerihealth	$62	70%
Aetna	$67 - $217	75%
UnitedHealthcare	$83 - $250	93%
Cigna	$88 - $691	99%
Blue Cross Blue Shield	$104	117%
Vaccn	$104	117%
Wellcare	$104	117%
United Community/Americhoice	$109	123%
Clover	$156	175%
Seoul Medical Group	$247	278%
Oxford	$250 - $432	281%
Intergroup	$605	680%
Bergen Risk	$648	729%
Brighton Health Plan	$683	768%
Lhp Health	$683	768%
Activecare First McO	$734	826%
Chn	$734	826%
Multiplan - PHCS	$734	826%
Qualcare	$762	857%

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 $104.
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 Hackensack University 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.