CMS Price Transparency Data

X-ray, shoulder

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $225
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.53x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at University of Texas M. D. Anderson Cancer Center is $225. 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 2.53x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$225

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: $225 (253%)

Ins. Median: $225 (253% 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 253% of the Medicare baseline (a markup of 153%). 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
Texaschildrens	$7 - $142	8%
UnitedHealthcare	$7 - $242	8%
Tricare	$8 - $242	9%
Vacare	$8 - $144	9%
Medicare (plans)	$11 - $142	12%
Blue Cross Blue Shield	$14 - $232	16%
Aetna	$16 - $242	18%
Cigna	$18 - $242	20%
Humana	$57 - $248	64%
Ontarioministriesofhealth	$70 - $238	79%
Beijingst.Lucia	$71 - $242	80%
Embassyofqatar	$71 - $242	80%
Memorialhermannhealth	$71 - $242	80%
Emergingtherapysolutions_Cancercare	$76 - $258	85%
Interlink_Cancercare	$76 - $258	85%
Saudiarmedforces	$76 - $258	85%
Uae_Medical	$76 - $258	85%
Uaepoliceattache	$76 - $258	85%
Healthsmart	$81 - $274	91%
Vantage	$81 - $274	91%
Multiplan	$89 - $277	100%
Phcs	$89 - $277	100%
Emergingtherapysolutions	$242 - $258	272%
Interlink	$242 - $274	272%

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 University of Texas M. D. Anderson Cancer 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.