CMS Price Transparency Data

X-ray, shoulder

Facility: Kings County Hospital Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $71
  • Cash Discount Price: $104
  • vs. Medicare Baseline: 0.80x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Kings County Hospital Center is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.80x the Medicare baseline. Located in 451 Clarkson Avenue, Brooklyn, NY.
Cash / Self-Pay
$104

Average discount available for prompt cash payment at this facility.

Insurance Median
$71

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: $104 (117%)
Insurance Median: $71 (80%)
Cash: $104 (117% of Medicare)
Ins. Median: $71 (80% 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
Aetna $7 - $1,131 8%
Healthfirst $8 - $170 9%
United $9 - $266 10%
Amidacare $10 - $75 11%
Emblem $10 - $266 11%
Wellcare $11 - $200 12%
Metroplus $12 - $170 13%
Fidelis $14 - $170 16%
Oscar $15 - $183 17%
Blue Cross Blue Shield $24 - $266 27%
Affinity $35 - $170 39%
Centerlight $40 - $166 45%
Elderplan $40 - $216 45%
Local 1199 $41 - $283 46%
Centers Plan For Healthy Living $42 - $108 47%
Hamaspik $42 47%
Cigna $63 - $250 71%
Oxford $67 - $200 75%
Carelon $75 - $216 84%
Senior Whole Health $75 84%
United Behavioral Health $75 - $83 84%
Carelon (Amida Care) $77 87%
Vnsny $77 - $283 87%
Vaccn $104 117%
Magnacare $250 281%
Multiplan $266 299%
Villagecare Max $283 318%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 451 Clarkson Avenue, Brooklyn, NY 11203
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals