CMS Price Transparency Data

X-ray, shoulder

Facility: Albany Medical Center Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $27
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 0.30x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Albany Medical Center Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.30x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$58

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $58 (65%)
Insurance Median: $27 (30%)
Cash: $58 (65% of Medicare)
Ins. Median: $27 (30% 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 $6 - $116 7%
Cdphp $6 - $116 7%
Medicare (plans) $6 - $37 7%
Fidelis $7 - $178 8%
Tricare $7 - $32 8%
Blue Shield Highmark $8 - $90 9%
Hamaspik $8 - $142 9%
Medicaid / KanCare $8 - $31 9%
Aetna $9 - $104 10%
Emblem Health Ghi $9 - $71 10%
Mvp $9 - $99 10%
Nascentia $9 - $35 10%
UnitedHealthcare $9 - $421 10%
Cigna $13 - $54 15%
Nys Department Of Corrections $21 - $65 24%
Blue Shield $23 - $58 26%
Nascentia Health Options $49 55%
Emblem $51 - $84 57%
Emblem_Ghi $84 94%
Magnacare $85 96%
Mvp Commercial $86 97%
Empire Plan Nyship $104 - $421 117%
Multiplan $110 - $447 124%
Mvp Essential Plan $111 125%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals