CMS Price Transparency Data

X-ray, shoulder

Facility: Tristar Southern Hills Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $121
Cash Discount Price: $645
vs. Medicare Baseline: 1.36x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Tristar Southern Hills Medical Center is $121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $645. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.36x the Medicare baseline. Located in 391 Wallace Rd, Nashville, TN.

Cash / Self-Pay

$645

Average discount available for prompt cash payment at this facility.

Insurance Median

$121

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: $645 (725%)

Insurance Median: $121 (136%)

Cash: $645 (725% of Medicare)

Ins. Median: $121 (136% 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.

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 - $161	39%
Aetna	$46 - $323	52%
Cigna	$82 - $210	92%
United	$84 - $290	94%
Kentucky Labor Cabinet	$119	134%
Apex Health	$123	138%
Nhc Advantage, Inc.	$123	138%
Pruitt Health (Allyalign)	$123	138%
Centurion	$266	299%
Bgfh Singlesource	$323 - $549	363%
Multiplan	$374	421%
Employers Health Network	$452	508%
Odom'S Tn Pride Sausage	$484	544%
Beech Street	$568	639%
Prime Health	$568	639%

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 $645.
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 Southern Hills 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.