CMS Price Transparency Data
X-ray, shoulder
Facility: Metro Nashville General Hospital
Billing Code: 73030 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$69
about 0.8× the $89 Medicare rate · typically $11–$99
modeled estimate · not a bill or quote
Medicare pays $89 Fair price $69 Cash price $266 Hospital's list price $444
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $5 - $8 | 6% |
| Blue Cross Blue Shieldmajor | $32 - $42 | 36% |
| Aetnamajor | $8 - $244 | 9% |
| Cignamajor | $8 | 9% |
| Humanamajor | $8 | 9% |
| Ambetter (Centene) | $12 | 13% |
| Amerigroup | $7 | 8% |
| UPMC Health Plan | $8 | 9% |
| WellCare | $8 | 9% |
| + 7 smaller / regional plans | $6 - $14 |
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Metro Nashville General Hospital
Compare: X-ray, shoulder at other TN hospitals
- University Health System, Inc · Knoxville $25
- Saint Thomas Hospital for Spinal Surgery · Nashville $26
- Unity Medical Center · Manchester $33
- Williamson Medical Center · Franklin $33
- Highpoint Health-Trousdale With Ascension Saint · Hartsville $36
- Erlanger Medical Center · Chattanooga $41
- Highpoint Health-Sumner With Ascension Saint Thoma · Gallatin $45
- Pinewood Springs · Columbia $46
Insurance negotiated median for the same procedure, sorted lowest first.