CMS Price Transparency Data

X-ray, shoulder

Facility: St Jude Childrens Research Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $245
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.76x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at St Jude Childrens Research Hospital is $245. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.76x the Medicare baseline. Located in 262 Danny Thomas Place, Memphis, TN.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$245

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%)

Insurance Median: $245 (276%)

Ins. Median: $245 (276% 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 276% of the Medicare baseline (a markup of 176%). 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
UnitedHealthcare	$11 - $470	12%
Blue Cross Blue Shield	$18 - $74	20%
Tenncare Select Hmo	$19	21%
Empower	$20	22%
Healthcare Connections La	$50 - $100	56%
Medicaid / KanCare	$72	81%
Home State Health	$74 - $490	83%
Healthy Blue	$82 - $163	92%
Molina Marketplace Of Ms	$104	117%
Health Choice - Ok	$176 - $392	198%
Vantage	$196 - $438	220%
Humana	$213 - $424	240%
Aetna	$245 - $490	276%
Private Health Care Systems	$262 - $522	295%
Ms Physicians Care Network	$278 - $555	313%
Baptist Health	$294 - $588	331%
Cigna	$294 - $588	331%
First Health Ccn	$294 - $588	331%
Health Choice	$294 - $588	331%
Health Link Mississippi	$294 - $588	331%
Healthscope Benefits Inc	$294 - $588	331%
Tricare	$327 - $653	368%

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 $X.
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 St Jude Childrens Research Hospital 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.