CMS Price Transparency Data

X-ray, shoulder

Facility: De Tar Hospital Navarro

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $88
  • Cash Discount Price: $588
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at De Tar Hospital Navarro is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $588. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.99x the Medicare baseline. Located in 506 E San Antonio St, Victoria, TX.
Cash / Self-Pay
$588

Average discount available for prompt cash payment at this facility.

Insurance Median
$88

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: $588 (661%)
Insurance Median: $88 (99%)
Cash: $588 (661% of Medicare)
Ins. Median: $88 (99% 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
Medicaid / KanCare $35 - $115 39%
Scott & White $35 39%
UnitedHealthcare $35 - $657 39%
Blue Cross Blue Shield $36 - $482 40%
Superior $37 - $177 42%
Tricare $75 - $87 84%
Humana $77 - $86 87%
Medicare (plans) $77 - $86 87%
Department Of Veterans Affairs $79 - $87 89%
Node Hospice Non Par Agree $79 - $87 89%
Node Triwest $79 - $87 89%
Node Va $79 - $87 89%
Aetna $80 - $1,314 90%
American Health Mcr Adv $81 - $89 91%
Node Amerigroup Mcr Adv $81 - $90 91%
Node Procare Mcr Adv $81 - $90 91%
Provider Partners Health Plan $81 - $90 91%
Amerigroup $83 93%
Veterans Eval Services $83 - $167 93%
Industrial Rehab $90 - $101 101%
Node Us Dept Of Labor $98 - $109 110%
Node Brookshire Brothers $138 - $153 155%
Node Brookshire Brothers Work Comp Tx $146 - $163 164%
Work Comp $157 - $175 177%
Elap $173 - $192 195%
Dars $530 596%
Tx Workforce Commission $530 596%
Cigna $549 - $991 617%
Healthsmart $1,268 - $1,614 1426%
Multiplan $1,498 - $1,844 1685%
First Health $1,567 1762%
Medcorp Southwest Inc $1,614 1815%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 E San Antonio St, Victoria, TX 77901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals