CMS Price Transparency Data

X-ray, shoulder

Facility: UPMC Williamsport

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $276
Cash Discount Price: $307
vs. Medicare Baseline: 3.10x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at UPMC Williamsport is $276. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $307. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.10x the Medicare baseline. Located in 700 High Street, Williamsport, PA.

Cash / Self-Pay

$307

Average discount available for prompt cash payment at this facility.

Insurance Median

$276

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: $307 (345%)

Insurance Median: $276 (310%)

Cash: $307 (345% of Medicare)

Ins. Median: $276 (310% 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 310% of the Medicare baseline (a markup of 210%). 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
UnitedHealthcare	$21 - $350	24%
Upmc Work Partners	$77	87%
Three Rivers Provider Network	$83 - $461	93%
Blue Cross Blue Shield	$85 - $240	96%
Multiplan	$85 - $399	96%
Aetna	$86 - $338	97%
Amerihealth Caritas	$86	97%
Upmc Health Plan	$86 - $223	97%
Highmark Wholecare (Prev Gateway)	$91	102%
Pa Health & Wellness	$91 - $282	102%
Coventry/First Health	$257 - $345	289%
Wirerope Works	$285	321%
Geisinger	$343	386%
Cigna	$351	395%
America'S Choice	$410	461%
Intergroup	$410	461%

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 $307.
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 UPMC Williamsport 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.