CMS Price Transparency Data

X-ray, shoulder

Facility: Colleton Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $743
Cash Discount Price: $1,309
vs. Medicare Baseline: 8.36x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Colleton Medical Center is $743. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,309. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.36x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.

Cash / Self-Pay

$1,309

Average discount available for prompt cash payment at this facility.

Insurance Median

$743

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: $1,309 (1472%)

Insurance Median: $743 (836%)

Cash: $1,309 (1472% of Medicare)

Ins. Median: $743 (836% 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 836% of the Medicare baseline (a markup of 736%). 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
Blue Choice	$37	42%
United	$37 - $929	42%
Select Health	$45	51%
Sc State Employees	$63 - $70	71%
Blue Choice Health Plan	$146 - $153	164%
Blue Cross Blue Shield	$146 - $1,662	164%
Absolute Total Care	$151 - $315	170%
Nhc Advantage	$197 - $332	222%
Pruitt Health	$197 - $332	222%
Employers Health Network	$467 - $788	525%
Value Option	$518 - $875	583%
Vocational Rehab	$560 - $945	630%
Medcost	$585 - $1,278	658%
Aetna	$600 - $1,013	675%
Cigna	$670 - $1,130	754%
Humana	$674 - $1,575	758%
Mhnet	$778 - $1,312	875%
Evernorth	$830 - $1,400	934%
Multiplan	$881 - $1,488	991%
North American Administrators	$881 - $1,488	991%
Prime Health	$881 - $1,488	991%
First Health	$933 - $1,575	1049%
Novanet	$933 - $1,575	1049%

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 $1,309.
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 Colleton 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.