CMS Price Transparency Data

X-ray, shoulder

Facility: Jefferson Lansdale Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $79
Cash Discount Price: $100
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Jefferson Lansdale Hospital is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.89x the Medicare baseline. Located in 100 Medical Campus Drive, Lansdale, PA.

Cash / Self-Pay

$100

Average discount available for prompt cash payment at this facility.

Insurance Median

$79

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: $100 (112%)

Insurance Median: $79 (89%)

Cash: $100 (112% of Medicare)

Ins. Median: $79 (89% 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
Keystone First	$20 - $31	22%
Pa Health_Wellness Chc	$21 - $32	24%
Medicaid / KanCare	$22 - $34	25%
Jab Health Partners	$25	28%
Aetna	$28 - $92	31%
Ibc	$34 - $375	38%
Blue Cross Blue Shield	$37	42%
Cigna	$65 - $82	73%
Jefferson Health Plan Aca Qhp Exchange	$75	84%
St Agnes	$77	87%
Innovage	$79	89%
Inspira Life	$79	89%
Medicare (plans)	$79 - $90	89%
Point Of Comfort Refugee Resettlement	$79	89%
Provider Partners Health Plan	$79	89%
Tricare	$79	89%
UnitedHealthcare	$79 - $187	89%
Upmc Commercial	$79	89%
Humana	$80	90%
Devoted Health Participation	$82	92%
Keystone First Vip Choice	$84	94%
Allwell Pa Health_Wellness Ma	$86	97%
Perennial	$91	102%
Highmark Wholecare Gateway	$92	103%
Ibc Employee Benefit	$98	110%
Ibc Main Line Health	$98	110%
Ambetter / Centene	$114	128%
Naphcare	$126	142%
Geisinger Health Plan	$320	360%

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 $100.
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 Jefferson Lansdale 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.