CMS Price Transparency Data

X-ray, shoulder

Facility: The University of Vermont Health Network - Champl

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $32
Cash Discount Price: $254
vs. Medicare Baseline: 0.36x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at The University of Vermont Health Network - Champl is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $254. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.36x the Medicare baseline. Located in 75 Beekman Street, Plattsburgh, NY.

Cash / Self-Pay

$254

Average discount available for prompt cash payment at this facility.

Insurance Median

$32

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: $254 (286%)

Insurance Median: $32 (36%)

Cash: $254 (286% of Medicare)

Ins. Median: $32 (36% 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
Blue Cross Blue Shield	$6 - $511	7%
UnitedHealthcare	$6 - $369	7%
Mvp	$7 - $384	8%
Aetna	$9 - $344	10%
Capital District Physicians' Health Plan	$9 - $381	10%
Fidelis Care	$9 - $108	10%
Humana	$9 - $102	10%
Martins Point	$9 - $115	10%
Veterans Affairs Community Care Network	$9 - $108	10%
Highmark Blueshield	$11 - $382	12%
Wellpath	$12 - $161	13%
Harvard Pilgrim	$20 - $386	22%
Magnacare	$20 - $386	22%
St. Regis	$20 - $108	22%
Coventry	$22 - $435	25%
Multiplan	$24 - $459	27%
Emblem Health	$386	434%

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 $254.
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 The University of Vermont Health Network - Champl 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.