CMS Price Transparency Data

X-ray, shoulder

Facility: Jefferson Stratford Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $90
Cash Discount Price: $113
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Jefferson Stratford Hospital is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.01x the Medicare baseline. Located in 18 East Laurel Road, Stratford, NJ.

Cash / Self-Pay

$113

Average discount available for prompt cash payment at this facility.

Insurance Median

$90

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: $113 (127%)

Insurance Median: $90 (101%)

Cash: $113 (127% of Medicare)

Ins. Median: $90 (101% 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
PA Health_Wellness Chc	$21 - $32	24%
Horizon Nj Health Nj	$37	42%
Cigna	$65 - $92	73%
Aetna	$74 - $90	83%
UnitedHealthcare	$87 - $144	98%
Medicare (plans)	$88 - $90	99%
Tricare	$88	99%
Innovage	$88	99%
St Agnes	$88	99%
Inspira Life	$88	99%
Point of Comfort Refugee Resettlement	$88	99%
Humana	$90	101%
Devoted Health Participation	$93	105%
Provider Partners Health Plan	$94	106%
Jeff Nj Amerihealth_Ibc	$96 - $114	108%
Allwell PA Health_Wellness Ma	$97	109%
Highmark Wholecare Gateway	$103	116%
Ibc Main Line Health	$110	124%
Ibc Employee Benefit	$110	124%
Ambetter / Centene	$128	144%
Naphcare	$141	159%
Blue Cross Blue Shield	$162	182%

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 $113.
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 Jefferson Stratford 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.