CMS Price Transparency Data

X-ray, shoulder

Facility: Artesia General Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $341
Cash Discount Price: $307
vs. Medicare Baseline: 3.84x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Artesia General Hospital is $341. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $307. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.84x the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$307

Average discount available for prompt cash payment at this facility.

Insurance Median

$341

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: $307 (345%)

Insurance Median: $341 (384%)

Cash: $307 (345% of Medicare)

Ins. Median: $341 (384% 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 384% of the Medicare baseline (a markup of 284%). 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
Zelis	$29 - $249	33%
First Health	$42 - $561	47%
Triwest	$84	94%
Blue Cross Blue Shield	$85 - $374	96%
Geha	$85 - $498	96%
Humana	$85 - $94	96%
Molina Healthcare Of New Mexico	$85 - $143	96%
Presbyterian Health Plan	$85 - $133	96%
UnitedHealthcare	$85 - $530	96%
Vistacare Hospice	$85	96%
New Mexico Health Connections	$145	163%
Providence Risk & Insurance Services	$171 - $592	192%
Omni Networks	$281 - $436	316%
Three Rivers Provider Network	$301 - $467	339%
Cigna	$341 - $561	384%
Galaxy Health	$361 - $561	406%
One Health Plan	$361 - $561	406%
Multiplan	$365 - $567	411%
United Payors & United Providers	$373 - $579	420%

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 $307.
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 Artesia General 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.