CMS Price Transparency Data

X-ray, shoulder

Facility: Strong Memorial Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $59
Cash Discount Price: $237
vs. Medicare Baseline: 0.66x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Strong Memorial Hospital is $59. 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 0.66x the Medicare baseline. Located in 601 Elmwood Ave, Rochester, NY.

Cash / Self-Pay

$237

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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: $59 (66%)

Cash: $237 (267% of Medicare)

Ins. Median: $59 (66% 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	$15 - $297	17%
Excellus [2201]	$15	17%
Medicaid / KanCare	$15 - $69	17%
Molina Healthcare [1723], Molina Healthcare [5189]	$15	17%
Molina Healthcare [5189]	$15	17%
UnitedHealthcare	$15 - $115	17%
Mvp [2900]	$18 - $366	20%
Aetna	$32 - $153	36%
Elderplan [1316]	$32	36%
Excellus Bc/Bs [2201]	$32 - $60	36%
Humana	$32 - $133	36%
Icircle [1728]	$32	36%
Martins Point [1205]	$32 - $109	36%
Medicare (plans)	$32 - $144	36%
Nascentia [1729]	$32	36%
Fidelis [5155]	$33 - $73	37%
Highmark Bc/Bs Of Western Ny [5143]	$34 - $36	38%
Independent Health [5156]	$46 - $56	52%
Excellus Bc/Bs [2201], Bc/Bs Out Of Area [2401]	$47 - $112	53%
Cigna	$78 - $397	88%
Capital District Physicians Health Plan (Cdphp) [5149]	$85 - $114	96%

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 Strong Memorial Hospital 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.