CMS Price Transparency Data

X-ray, shoulder

Facility: Texoma Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $637
Cash Discount Price: $1,364
vs. Medicare Baseline: 7.16x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Texoma Medical Center is $637. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,364. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.16x the Medicare baseline. Located in 5016 S Us Highway 75, Denison, TX.

Cash / Self-Pay

$1,364

Average discount available for prompt cash payment at this facility.

Insurance Median

$637

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: $1,364 (1534%)

Insurance Median: $637 (716%)

Cash: $1,364 (1534% of Medicare)

Ins. Median: $637 (716% 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 716% of the Medicare baseline (a markup of 616%). 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
Molina	$102	115%
Tchp	$107	120%
Amerigroup	$164	184%
United_Healthcare	$164	184%
Superior	$220	247%
Aetna	$381 - $637	429%
Cigna	$502 - $904	565%
Humana	$793 - $1,327	892%
Multiplan	$966 - $1,616	1086%
Healthsmart	$1,020 - $1,707	1147%

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 $1,364.
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 Texoma 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.