CMS Price Transparency Data

X-ray, shoulder

Facility: NYU Langone Hospitals

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $115
  • Cash Discount Price: $151
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at NYU Langone Hospitals is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.29x the Medicare baseline. Located in 550 First Avenue, New York, NY.
Cash / Self-Pay
$151

Average discount available for prompt cash payment at this facility.

Insurance Median
$115

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: $151 (170%)
Insurance Median: $115 (129%)
Cash: $151 (170% of Medicare)
Ins. Median: $115 (129% 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
Healthfirst $24 - $214 27%
Fidelis $27 - $214 30%
Healthplus $27 - $214 30%
1199 $30 34%
Hip $51 - $561 57%
Medicaid / KanCare $51 - $95 57%
Metroplus $51 - $214 57%
UnitedHealthcare $51 - $226 57%
Somos $54 - $129 61%
Ghi $56 - $561 63%
Cigna $60 67%
Amida $102 - $105 115%
Medicare (plans) $104 117%
Wellcare $104 117%
Centerlight $106 119%
Aetna $146 - $890 164%
Blue Cross Blue Shield $156 - $195 175%
Hamaspik $156 175%
Oxford $223 251%
Magnacare $305 - $445 343%
Multiplan $542 - $695 610%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 550 First Avenue, New York, NY 10016
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals