CMS Price Transparency Data

X-ray, shoulder

Facility: Woodland Heights Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $153
  • Cash Discount Price: $341
  • vs. Medicare Baseline: 1.72x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Woodland Heights Medical Center is $153. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $341. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.72x the Medicare baseline. Located in 505 South John Redditt Drive, Lufkin, TX.
Cash / Self-Pay
$341

Average discount available for prompt cash payment at this facility.

Insurance Median
$153

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: $341 (384%)
Insurance Median: $153 (172%)
Cash: $341 (384% of Medicare)
Ins. Median: $153 (172% 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
Blue Cross Blue Shield $50 - $276 56%
Cigna $60 67%
Self Pay $63 - $189 71%
Tricare $83 - $87 93%
Veterans Eval Services $83 - $167 93%
Humana $86 97%
Medicare (plans) $86 97%
UnitedHealthcare $86 - $838 97%
Department Of Veterans Affairs $87 98%
Node Triwest $87 98%
Node Va $87 98%
American Health Mcr Adv $89 100%
Node Amerigroup Mcr Adv $90 101%
Node Procare Advantage $90 101%
Provider Partners Health Plan $90 101%
Superior $90 - $119 101%
Medicaid / KanCare $109 - $160 123%
Node Us Dept Of Labor $109 123%
Angelina County $131 147%
Corporate Remedies $131 147%
Partners Direct Health $131 147%
Node Brookshire Brothers $153 172%
Amerigroup $160 180%
Node Brookshire Brothers Work Comp Tx $162 182%
Usa Managed Care $163 183%
Work Comp $175 197%
Texas Rehab Commission $316 - $472 355%
Aetna $671 - $1,606 755%
Multiplan $823 - $1,606 926%
Unicare $886 - $1,322 997%
Galaxy Health Network $1,076 - $1,606 1210%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 505 South John Redditt Drive, Lufkin, TX 75904
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals