CMS Price Transparency Data

X-ray, shoulder

Facility: Physicians Regional Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $79
  • Cash Discount Price: $258
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Physicians Regional Medical Center is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $258. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.89x the Medicare baseline. Located in 7565 Dannaher Way Powell, Powell, TN.
Cash / Self-Pay
$258

Average discount available for prompt cash payment at this facility.

Insurance Median
$79

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: $258 (290%)
Insurance Median: $79 (89%)
Cash: $258 (290% of Medicare)
Ins. Median: $79 (89% 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 - $303 24%
Medicaid / KanCare $22 - $45 25%
UnitedHealthcare $22 - $1,561 25%
Amerigroup $42 - $82 47%
Amerigroup Community Care $42 - $45 47%
Tricare $68 - $75 76%
Humana $70 - $78 79%
Medicare (plans) $70 - $78 79%
Node Bluecare Plus Tn Mcr Adv $70 - $79 79%
Department Of Veterans Affairs $71 - $79 80%
Node Devoted Health Mcr Adv $71 - $79 80%
Node Farm Bureau Mcr Adv $71 - $79 80%
Node Hospice Non Par Agree $71 - $79 80%
Node Va $71 - $79 80%
Aetna $72 - $103 81%
Node Healthspring Mcr Adv $72 - $80 81%
Wellcare $74 - $82 83%
Node Nhc Mcr Adv $77 - $85 87%
Veterans Eval Services $79 - $157 89%
Node Us Dept Of Labor $89 - $99 100%
Us Department Of Labor $89 - $99 100%
Novanet Work Comp Tn $118 - $131 133%
Occunet Work Comp Tn $119 - $132 134%
Tn Work Comp $119 - $132 134%
Ambetter / Centene $131 - $146 147%
Node Point Comfort Underwriters $131 - $146 147%
Cigna $164 - $185 184%
Self Pay $170 - $354 191%
Multiplan $421 - $1,109 474%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7565 Dannaher Way Powell, Powell, TN 37849
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals