CMS Price Transparency Data

X-ray, shoulder

Facility: Tennova Healthcare - Clarksville

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $91
  • Cash Discount Price: $152
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Tennova Healthcare - Clarksville is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.02x the Medicare baseline. Located in 651 Dunlop Lane, Clarksville, TN.
Cash / Self-Pay
$152

Average discount available for prompt cash payment at this facility.

Insurance Median
$91

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: $152 (171%)
Insurance Median: $91 (102%)
Cash: $152 (171% of Medicare)
Ins. Median: $91 (102% 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
Blue Cross Blue Shield $21 - $187 24%
Aetna $23 - $110 26%
Medicaid / KanCare $28 - $261 31%
UnitedHealthcare $28 - $285 31%
Amerigroup $49 - $53 55%
Tricare $76 - $85 85%
Humana $79 - $230 89%
Medicare (plans) $79 - $88 89%
Node Windsor Mcr Dual $79 - $88 89%
Veterans Eval Services $79 - $157 89%
American Health $80 - $89 90%
Node Ascension Complete Mcr Adv $80 - $89 90%
Node Bluecare Plus Tn Mcr Adv $80 - $89 90%
Node Champva $80 - $89 90%
Node Devoted Health Mcr Adv $80 - $89 90%
Node Farm Bureau Mcr Adv $80 - $89 90%
Node Healthspring Mcr Adv $80 - $89 90%
Node Hospice Non Par Agree $80 - $89 90%
Node Va $80 - $89 90%
Node Wellcare Mcr Adv $80 - $89 90%
Cigna $83 - $118 93%
Node Amerigroup Mcr Adv $83 - $92 93%
Node Nhc Mcr Adv $87 - $96 98%
Ky Work Comp $99 - $198 111%
Node Us Dept Of Labor $100 - $111 112%
Self Pay $101 - $202 114%
Corvel $113 - $125 127%
Rockport Work Comp Tn $113 - $125 127%
Novanet Work Comp Tn $116 - $129 130%
Prime Health Work Comp Tn $116 - $129 130%
Tn Work Comp $119 - $132 134%
Wellcare $131 - $261 147%
Ambetter / Centene $148 - $165 166%
Node Valenz Access $160 - $178 180%
Naphcare $180 - $200 202%
Oscar $219 - $244 246%
Center Care $340 - $678 382%
Correct Care Solutions $471 - $939 530%
First Health $471 - $939 530%
Multiplan $497 - $991 559%
Phcs $497 - $991 559%
Prime Health Services $497 - $991 559%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 Dunlop Lane, Clarksville, TN 37040
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals