CMS Price Transparency Data

X-ray, shoulder

Facility: Tristar Centennial Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $302
Cash Discount Price: $1,590
vs. Medicare Baseline: 3.40x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Tristar Centennial Medical Center is $302. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,590. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.40x the Medicare baseline. Located in 2300 Patterson Street, Nashville, TN.

Cash / Self-Pay

$1,590

Average discount available for prompt cash payment at this facility.

Insurance Median

$302

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: $1,590 (1788%)

Insurance Median: $302 (340%)

Cash: $1,590 (1788% of Medicare)

Ins. Median: $302 (340% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 340% of the Medicare baseline (a markup of 240%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$19 - $43	21%
Humana	$35 - $1,033	39%
Aetna	$46 - $795	52%
Cigna	$82 - $1,272	92%
United	$84 - $715	94%
Kentucky Labor Cabinet	$293	330%
Apex Health	$302	340%
Nhc Advantage, Inc.	$302	340%
Pruitt Health (Allyalign)	$302	340%
Tennessee Donor Services	$431	485%
Centurion	$655	737%
Emerging Therapy Solutions	$779 - $1,065	876%
Bgfh Singlesource	$795 - $1,351	894%
Value Option	$795	894%
Multiplan	$874	983%
Southern Health Partners	$954	1073%
Employers Health Network	$1,113	1252%
Mhnet	$1,192	1341%
Odom'S Tn Pride Sausage	$1,192	1341%
Compsych	$1,272	1431%
Beech Street	$1,399	1574%
Prime Health	$1,399	1574%
UnitedHealthcare	$1,415 - $1,590	1591%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,590.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73030.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Tristar Centennial Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73030.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.