CMS Price Transparency Data

X-ray, shoulder

Facility: Oakbend Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $212
Cash Discount Price: $88
vs. Medicare Baseline: 2.38x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Oakbend Medical Center is $212. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.38x the Medicare baseline. Located in 1705 Jackson St, Richmond, TX.

Cash / Self-Pay

$88

Average discount available for prompt cash payment at this facility.

Insurance Median

$212

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: $88 (99%)

Insurance Median: $212 (238%)

Cash: $88 (99% of Medicare)

Ins. Median: $212 (238% 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 238% of the Medicare baseline (a markup of 138%). 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
Blue Cross Blue Shield	$53 - $115	60%
Cigna	$84	94%
Ambetter / Centene	$87 - $510	98%
Friday Health Plan Mcr	$87	98%
Medicare (plans)	$87	98%
Friday Health Plan-All Other Plans	$109	123%
UnitedHealthcare	$197	222%
Aetna	$210 - $213	236%
Humana	$263 - $288	296%
Medicaid / KanCare	$438 - $443	493%
Wellcare Mcare-All Plans	$460 - $465	517%
Community Health Choice-All Plans	$482 - $488	542%
Oscar - All Plans	$548 - $554	616%

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 $88.
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 Oakbend 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.