CMS Price Transparency Data

X-ray, shoulder

Facility: Dell Seton Med Center at the University of Tx

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $35
Cash Discount Price: $439
vs. Medicare Baseline: 0.39x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Dell Seton Med Center at the University of Tx is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $439. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.39x the Medicare baseline. Located in 601 E 15Th Street, Austin, TX.

Cash / Self-Pay

$439

Average discount available for prompt cash payment at this facility.

Insurance Median

$35

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: $439 (494%)

Insurance Median: $35 (39%)

Cash: $439 (494% of Medicare)

Ins. Median: $35 (39% 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
Champva	$20 - $28	22%
Ambetter / Centene	$27 - $35	30%
Blue Cross Blue Shield	$27 - $323	30%
Dell Chip/Chip Perinate	$27 - $35	30%
Dell Star	$27 - $28	30%
UnitedHealthcare	$27 - $28	30%
Wellpoint Chip/Chip Perinate	$27 - $35	30%
Wellpoint Star	$27 - $28	30%
Wellpoint Star Plus	$27 - $35	30%
Wellpoint Star Kids	$35	39%
Humana	$44	49%
Tricare	$59	66%
Aetna	$118 - $241	133%
Cigna	$194	218%
Covenant Health	$241	271%
Seton Performance Plus	$251	282%
Superior Star	$342 - $634	385%
Superior Star Foster	$342 - $634	385%
Superior Star Kids	$342 - $634	385%
Superior Star Plus	$342 - $634	385%
Superior Chip/Chip Perinate	$385 - $713	433%

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 $439.
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 Dell Seton Med Center at the University of Tx 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.