CMS Price Transparency Data

X-ray, shoulder

Facility: Metro Nashville General Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $8
  • Cash Discount Price: $266
  • vs. Medicare Baseline: 0.09x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Metro Nashville General Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $266. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.09x the Medicare baseline. Located in 1818 Albion Street, Nashville, TN.
Cash / Self-Pay
$266

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $266 (299%)
Insurance Median: $8 (9%)
Cash: $266 (299% of Medicare)
Ins. Median: $8 (9% 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 $5 - $8 6%
Corizon $6 7%
Amerigroup $7 8%
Amerivantage $7 8%
Aetna $8 - $244 9%
Blue $8 9%
Cigna $8 9%
Humana $8 9%
Medicare (plans) $8 9%
Upmc $8 9%
Wellcare $8 9%
Corecivic $9 10%
Farm Bureau $9 10%
Ambetter / Centene $12 13%
Naphcare $13 15%
Bluecare $14 16%
Provider Network Of America $14 16%
Tenncare $14 16%
Blue Cross Blue Shield $32 - $42 36%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1818 Albion Street, Nashville, TN 37208
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals