CMS Price Transparency Data

X-ray, shoulder

Facility: Flushing Hospital Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $111
Cash Discount Price: $237
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Flushing Hospital Medical Center is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $237. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.25x the Medicare baseline. Located in 45Th Avenue and Parsons Boulevard, Flushing, NY.

Cash / Self-Pay

$237

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $237 (267%)

Insurance Median: $111 (125%)

Cash: $237 (267% of Medicare)

Ins. Median: $111 (125% 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	$9 - $208	10%
Ghi	$23 - $108	26%
1199 National Benefit Fund	$30	34%
Cigna	$77	87%
Healthfirst	$97 - $108	109%
Fidelis	$103 - $108	116%
Aetna	$108 - $130	121%
Beacon Health Strategies	$108	121%
Centerlight Healthcare	$108	121%
Empire	$108 - $202	121%
Hip	$108 - $330	121%
Metroplus	$108 - $119	121%
Humana	$109 - $115	123%
Elderplan	$110	124%
Vns	$110	124%
Wellcare Of Ny	$112	126%
Senior Whole Health	$115	129%
Centers Plan For Healthy Living	$119	134%
Elderserve Health	$124	139%
Hamaspik Choice	$124	139%
Magnacare	$124	139%
Oscar	$151	170%
Emblemhealth	$169	190%
Empire Blue Priority	$172	193%
Hotel Trades Council	$1,912	2150%

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 $237.
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 Flushing Hospital 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.