CMS Price Transparency Data

X-ray, shoulder

Facility: Maimonides Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $10
  • Cash Discount Price: $103
  • vs. Medicare Baseline: 0.11x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Maimonides Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.11x the Medicare baseline. Located in 4802 Tenth Avenue, Brooklyn, NY.
Cash / Self-Pay
$103

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $103 (116%)
Insurance Median: $10 (11%)
Cash: $103 (116% of Medicare)
Ins. Median: $10 (11% 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 $5 - $82 6%
United Community Plan $5 - $120 6%
UnitedHealthcare $5 - $93 6%
Healthfirst $6 - $106 7%
Aetna $7 - $109 8%
Emblem Health - Hip Vip $7 - $10 8%
Oxford Liberty $7 - $93 8%
Cigna $8 - $59 9%
Emblem Health - Hip $8 - $25 9%
Fidelis $8 - $12 9%
Healthfirst Early Start $8 9%
Metroplus $8 - $130 9%
Visiting Nurse Svc Of Ny $8 - $10 9%
Wellcare $8 - $10 9%
Centers Plan For Healthy Living $10 - $17 11%
Elderplan $10 11%
Emblem Health - Ghi $10 - $330 11%
Hamaspik $10 11%
Local 1199 $10 - $30 11%
Molina $10 - $18 11%
Villagecare Maxx Fida $10 11%
Oxford Health Plan $11 - $93 12%
Mvp Health $12 13%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4802 Tenth Avenue, Brooklyn, NY 11219
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals