CMS Price Transparency Data

X-ray, shoulder

Facility: UT of Texas Southwestern University Hospital - William P. Clements Jr.

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $53
  • Cash Discount Price: $173
  • vs. Medicare Baseline: 0.60x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at UT of Texas Southwestern University Hospital - William P. Clements Jr. is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $173. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.60x the Medicare baseline. Located in 6201 Harry Hines Blvd, Dallas, TX.
Cash / Self-Pay
$173

Average discount available for prompt cash payment at this facility.

Insurance Median
$53

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: $173 (195%)
Insurance Median: $53 (60%)
Cash: $173 (195% of Medicare)
Ins. Median: $53 (60% 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
Molina $7 - $92 8%
Parkland $7 - $35 8%
UnitedHealthcare $7 - $357 8%
Wellpoint $7 - $92 8%
Aetna $8 - $167 9%
Superior $8 - $92 9%
Ambetter / Centene $9 - $35 10%
Blue Cross Blue Shield $9 - $487 10%
Humana $9 - $92 10%
Procare $9 - $88 10%
United Options Nexus $13 - $397 15%
Coventry $15 - $242 17%
Healthfirst $17 - $194 19%
Quiktrip $20 - $218 22%
Phcs $21 - $281 24%
Rockwall County $21 - $242 24%
Maestro Health/Fort Worth Firefighters $22 - $185 25%
Galaxy Health Network $27 - $304 30%
Multiplan $27 - $301 30%
Cigna $28 - $255 31%
Healthsmart $29 - $287 33%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6201 Harry Hines Blvd, Dallas, TX 75390
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals