CMS Price Transparency Data

X-ray, shoulder

Facility: University Health System, Inc

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $83
  • Cash Discount Price: $86
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at University Health System, Inc is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.93x the Medicare baseline. Located in 1924 Alcoa Highway, Knoxville, TN.
Cash / Self-Pay
$86

Average discount available for prompt cash payment at this facility.

Insurance Median
$83

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: $86 (97%)
Insurance Median: $83 (93%)
Cash: $86 (97% of Medicare)
Ins. Median: $83 (93% 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.

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 $6 - $240 7%
Aetna $8 - $240 9%
Blue Cross Blue Shield $8 - $219 9%
Bluecare $8 - $9 9%
American Health $9 - $85 10%
Choicecare $9 - $12 10%
Cigna $9 - $260 10%
Humana $9 - $80 10%
Nhc $9 - $85 10%
Signature $9 10%
Tenncare $9 10%
Wellpoint $9 - $85 10%
Multiplan $13 - $206 15%
Nx Health 1 $13 15%
Nx Health 2 $13 15%
Coventry $14 - $240 16%
First Health $14 16%
Initial Group $14 16%
Beechstreet $15 - $257 17%
Novanet $15 17%
Devoted Health $84 94%
Wellcare-Windsor Medadv $84 94%
Medicare (plans) $85 - $86 96%
Fentress County Sheriffs Dept $137 154%
Nx Health $206 232%
Phcs $206 232%
Naphcare $223 251%
Prime Health $257 - $342 289%
Seven Corners $257 289%
Usa $274 308%
Evolutions $308 346%
Galaxy $308 346%
Healthsmart $308 346%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1924 Alcoa Highway, Knoxville, TN 37920
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals