CMS Price Transparency Data

X-ray, shoulder

Facility: Jacobi Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $82
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Jacobi Medical Center is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.92x the Medicare baseline. Located in 1400 Pelham Parkway South, Bronx, NY.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$82

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%)

Insurance Median: $82 (92%)

Ins. Median: $82 (92% 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
Aetna	$7 - $1,131	8%
Healthfirst	$8 - $185	9%
United	$9 - $266	10%
Amidacare	$10 - $82	11%
Emblem	$10 - $266	11%
Wellcare	$11 - $200	12%
Metroplus	$12 - $185	13%
Fidelis	$14 - $185	16%
Oscar	$15 - $183	17%
Blue Cross Blue Shield	$22 - $266	25%
Cigna	$63 - $250	71%
Oxford	$67 - $200	75%
Carelon	$82 - $216	92%
Senior Whole Health	$82	92%
United Behavioral Health	$82 - $90	92%
Affinity	$84 - $185	94%
Carelon (Amida Care)	$84	94%
Vnsny	$84 - $283	94%
Elderplan	$104 - $216	117%
Vaccn	$104	117%
Centers Plan For Healthy Living	$108	121%
Centerlight	$166	187%
Magnacare	$250	281%
Multiplan	$266	299%
Local 1199	$283	318%
Villagecare Max	$283	318%

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 $X.
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 Jacobi 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.