CMS Price Transparency Data

X-ray, shoulder

Facility: Mission Regional Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $87
Cash Discount Price: $86
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Mission Regional Medical Center is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.98x the Medicare baseline. Located in 900 South Bryan Road, Mission, TX.

Cash / Self-Pay

$86

Average discount available for prompt cash payment at this facility.

Insurance Median

$87

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: $86 (97%)

Insurance Median: $87 (98%)

Cash: $86 (97% of Medicare)

Ins. Median: $87 (98% 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
Superior Health Plan	$35 - $113	39%
Molina	$37 - $135	42%
Medicaid / KanCare	$66 - $68	74%
UnitedHealthcare	$66 - $87	74%
Blue Cross Blue Shield	$68 - $323	76%
Cigna	$68 - $90	76%
Aetna	$87	98%
Medicare (plans)	$87	98%
Tricare	$87	98%
Wellmed	$87	98%
Worker Comp	$87	98%
Imperial Insurance Companies	$92	103%
Employer Direct Healthcare	$113	127%
Frontier Health (Fka Asserta Health)	$113	127%
Magic Valley Electric Cooperative	$113	127%
Corporate Remedies	$130	146%
Naphcare	$135	152%
Baker Benefits Administrators	$174	196%

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 $86.
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 Mission Regional Medical 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.