CMS Price Transparency Data

X-ray, shoulder

Facility: Valley Regional Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $291
Cash Discount Price: $2,240
vs. Medicare Baseline: 3.27x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Valley Regional Medical Center is $291. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,240. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.27x the Medicare baseline. Located in 100 A Alton Gloor, Brownsville, TX.

Cash / Self-Pay

$2,240

Average discount available for prompt cash payment at this facility.

Insurance Median

$291

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: $2,240 (2519%)

Insurance Median: $291 (327%)

Cash: $2,240 (2519% of Medicare)

Ins. Median: $291 (327% 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 327% of the Medicare baseline (a markup of 227%). 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
Texas Health Network	$35	39%
United	$35 - $1,008	39%
Usa Mco	$35	39%
Driscoll Childrens Health Plan	$36	40%
Aetna	$38 - $273	43%
Molina Healthcare	$39	44%
Superior Health Plan	$157	177%
Blue Cross Blue Shield	$172 - $1,008	193%
Humana	$196	220%
Cigna	$446 - $596	502%
Texas Workforce Commission	$538	605%
Healthcare Highways	$571	642%
Averde Health	$739	831%
Curative Administrators	$896	1008%
Healthsmart Preferred Care	$963 - $1,904	1083%
First Health	$1,288	1449%
National Healthcare Solutions	$1,344	1512%
Southwest Medical	$1,344	1512%
Coastal Comp	$1,456	1638%
Total E&P Mexico	$1,456	1638%
Affiliated Healthcare	$1,523	1713%
Mcm Maxcare	$1,792	2016%
Pronet Ppo	$1,792	2016%
Usa Managed Care	$1,792	2016%
Beech Street	$2,016	2267%

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 $2,240.
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 Valley 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.