CMS Price Transparency Data

X-ray, shoulder

Facility: Columbia Memorial Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $34
Cash Discount Price: $61
vs. Medicare Baseline: 0.38x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Columbia Memorial Hospital is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $61. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.38x the Medicare baseline. Located in 71 Prospect Avenue, Hudson, NY.

Cash / Self-Pay

$61

Average discount available for prompt cash payment at this facility.

Insurance Median

$34

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: $61 (69%)

Insurance Median: $34 (38%)

Cash: $61 (69% of Medicare)

Ins. Median: $34 (38% 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
UnitedHealthcare	$4 - $127	4%
Blue Cross Blue Shield	$7 - $96	8%
Cdphp	$7 - $117	8%
Medicare (plans)	$7 - $37	8%
Mvp	$7 - $109	8%
Medicaid / KanCare	$8 - $52	9%
Tricare	$8 - $37	9%
Emblem Health Ghi	$9 - $35	10%
Fidelis	$9 - $117	10%
Hamaspik	$9 - $70	10%
Aetna	$10 - $107	11%
Blue Shield Highmark	$10 - $38	11%
Cigna	$12 - $45	13%
Empire Plan Nyship	$46	52%
Emblem	$51 - $85	57%
Blue Shield	$56 - $151	63%
Magnacare	$68	76%
Multiplan	$74 - $590	83%
Herrington Diversified Pdh	$82 - $156	92%
Mvp Commercial	$82 - $101	92%

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 $61.
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 Columbia Memorial 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.