CMS Price Transparency Data

X-ray, shoulder

Facility: Shannon Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $384
Cash Discount Price: $352
vs. Medicare Baseline: 4.32x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Shannon Medical Center is $384. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $352. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.32x the Medicare baseline. Located in 120 E Harris Ave., San Angelo, TX.

Cash / Self-Pay

$352

Average discount available for prompt cash payment at this facility.

Insurance Median

$384

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: $352 (396%)

Insurance Median: $384 (432%)

Cash: $352 (396% of Medicare)

Ins. Median: $384 (432% 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 432% of the Medicare baseline (a markup of 332%). 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 Healthcare - Chip	$36	40%
Wellpoint	$38 - $112	43%
City Of San Angelo	$77 - $119	87%
Care Improvement	$83	93%
Humana	$83 - $683	93%
Wellmed	$83	93%
Insurance Management Services	$135	152%
Insurance Services Of Lubbock	$135	152%
Scott & White	$149	168%
Cigna	$161	181%
Kempton Group	$165	186%
Pdh/Texas Trust	$165	186%
Ambetter / Centene	$178	200%
90 Degree Benefits	$207	233%
Caprock	$207	233%
Blue Cross Blue Shield	$243 - $640	273%
Web Tpa	$249 - $384	280%
Aetna	$365 - $564	411%
Assurant Health	$365 - $564	411%
First Health	$415 - $640	467%
UnitedHealthcare	$431 - $666	485%
Healthsmart	$492 - $760	553%

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 $352.
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 Shannon 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.