CMS Price Transparency Data

X-ray, shoulder

Facility: Hillcrest Hospital Henryetta

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $798
Cash Discount Price: $348
vs. Medicare Baseline: 8.98x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Hillcrest Hospital Henryetta is $798. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $348. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.98x the Medicare baseline. Located in 2401 W Main, Henryetta, OK.

Cash / Self-Pay

$348

Average discount available for prompt cash payment at this facility.

Insurance Median

$798

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: $348 (391%)

Insurance Median: $798 (898%)

Cash: $348 (391% of Medicare)

Ins. Median: $798 (898% 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 898% of the Medicare baseline (a markup of 798%). 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
Black Lung [6055]	$232 - $348	261%
Lucent Health [6000]	$232 - $348	261%
Aetna	$407 - $611	458%
Coresource [1315]	$407 - $611	458%
Coventry Healthcare [1320]	$407 - $611	458%
Meritain Health [1655]	$407 - $611	458%
Cigna	$509 - $763	572%
Healthpartners [1500]	$509 - $763	572%
National Association Of Letter Carriers [1695]	$509 - $763	572%
Pba [1775]	$509 - $763	572%
Global Health [1430]	$575 - $863	647%
First Health [1375]	$629 - $1,197	707%
Multiplan [1680]	$629 - $1,197	707%
Healthcare Solutions [1485]	$659 - $988	741%
Community Care [1290]	$742 - $1,114	835%
Fmh Benefit Services [1390]	$742 - $1,114	835%
Group Resources [1455]	$742 - $1,114	835%
Phcs [1780]	$742 - $1,197	835%
Healthsmart [1505]	$789 - $1,183	887%
Administrative Concepts [1005]	$798 - $1,197	898%
Allied Benefit Systems Inc [1030]	$798 - $1,197	898%
Allied National Global Care [1035]	$798 - $1,197	898%
Gilsbar [1425]	$798 - $1,197	898%
Healthnet [1495]	$798 - $1,197	898%
New Era Life Insurance Company [1705]	$798 - $1,197	898%
Pan American Life Insurance Co [1770]	$798 - $1,197	898%
Trustmark [2030]	$798 - $1,197	898%
Pending Ssi [1616]	$928 - $1,392	1044%

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 $348.
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 Hillcrest Hospital Henryetta 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.