CMS Price Transparency Data

X-ray, shoulder

Facility: Blount Memorial Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $148
Cash Discount Price: $131
vs. Medicare Baseline: 1.66x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Blount Memorial Hospital is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $131. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.66x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$131

Average discount available for prompt cash payment at this facility.

Insurance Median

$148

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: $131 (147%)

Insurance Median: $148 (166%)

Cash: $131 (147% of Medicare)

Ins. Median: $148 (166% 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
UnitedHealthcare	$21 - $180	24%
Medicaid / KanCare	$22 - $72	25%
Blue Cross Blue Shield	$74 - $85	83%
Humana	$82	92%
Medicare (plans)	$82 - $85	92%
Tricare	$82	92%
Cigna	$85 - $211	96%
Prisma Health Seniorcare Pace - Midlands [5400]	$98	110%
Prisma Health Seniorcare Pace-Upstate [5200]	$98	110%
Mvp Health Care [3037]	$124	139%
Ambetter / Centene	$128	144%
Promise Health Plan Contracted [2401]	$148 - $253	166%
Bob Jones Univ-Pai [821]	$158	178%
Orangeburg Senior Helping Center Pace [5401]	$169	190%
Golden Rule Insurance Company [2991]	$180	202%
Oxford Health Plans [2992]	$180	202%
Consociate Health Contracted [4835]	$182	205%
Fairos/Occunet Contracted [4837]	$190	214%
Preferred Administrators Contracted [2839]	$295	332%
Medcost [2940]	$312 - $350	351%
Atlantic Packaging Contracted [4833]	$316	355%
Aps Healthcare System [2981]	$338	380%
Multiplan/Phcs Contracted [2950]	$376	423%
Aetna	$380	427%
Meritain Health Contracted [2200]	$380	427%
Nippon [2300]	$380	427%
Vsp Vision Care [2986]	$380	427%
First Health Contracted [2952]	$392	441%
Furman Int/Allen University Student [2951]	$392	441%
Quiktrip-First Health [3067]	$392	441%

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 $131.
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 Blount Memorial 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.