CMS Price Transparency Data

X-ray, shoulder

Facility: Stillwater Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $420
Cash Discount Price: $659
vs. Medicare Baseline: 4.72x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Stillwater Medical Center is $420. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $659. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.72x the Medicare baseline. Located in 1323 West 6Th Street, Stillwater, OK.

Cash / Self-Pay

$659

Average discount available for prompt cash payment at this facility.

Insurance Median

$420

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: $659 (741%)

Insurance Median: $420 (472%)

Cash: $659 (741% of Medicare)

Ins. Median: $420 (472% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 472% of the Medicare baseline (a markup of 372%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Tricare	$90	101%
Veterans Administration	$90	101%
Healthcare Highways	$157	177%
Healthchoice	$195	219%
Ebms (Employee Benefit Management Services Inc.)	$215	242%
Blue Cross Blue Shield	$241	271%
Aetna	$412	463%
Cigna	$420	472%
Community Care	$536	603%
UnitedHealthcare	$552	621%
Coventry	$618	695%
First Health	$700	787%
Osma Health	$725	815%
Multiplan	$742	835%
Preferred Community Choice	$742	835%

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 $659.
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 Stillwater Medical Center 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.