CMS Price Transparency Data

X-ray, shoulder

Facility: UT Health East Texas Tyler Regional Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $369
Cash Discount Price: $123
vs. Medicare Baseline: 4.15x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at UT Health East Texas Tyler Regional Hospital is $369. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $123. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.15x the Medicare baseline. Located in 1000 South Beckham Ave, Tyler, TX.

Cash / Self-Pay

$123

Average discount available for prompt cash payment at this facility.

Insurance Median

$369

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: $123 (138%)

Insurance Median: $369 (415%)

Cash: $123 (138% of Medicare)

Ins. Median: $369 (415% 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 415% of the Medicare baseline (a markup of 315%). 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
Amerigroup Commercial [5055]	$246 - $369	277%
Black Lung [6055]	$246 - $369	277%
Cigna	$246 - $369	277%
Healthcare Highways [2210]	$246 - $369	277%
Healthscope Benefits [2290]	$246 - $369	277%
Lucent Health [6000]	$246 - $369	277%
Medicaid / KanCare	$246 - $369	277%
Parkland Community Health Plan [6015]	$246 - $369	277%
UnitedHealthcare	$246 - $369	277%
Web Tpa [2115]	$246 - $369	277%
Group Pension Admin [1450]	$649 - $973	730%
Phcs [1780]	$649 - $973	730%

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 $123.
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 UT Health East Texas Tyler Regional 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.