CMS Price Transparency Data

X-ray, shoulder

Facility: Ascension Seton Northwest

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $85
  • Cash Discount Price: $439
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Ascension Seton Northwest is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $439. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.96x the Medicare baseline. Located in 11113 Research Boulevard, Austin, TX.
Cash / Self-Pay
$439

Average discount available for prompt cash payment at this facility.

Insurance Median
$85

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: $439 (494%)
Insurance Median: $85 (96%)
Cash: $439 (494% of Medicare)
Ins. Median: $85 (96% 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
Champva $20 - $28 22%
Ambetter / Centene $27 - $154 30%
Blue Cross Blue Shield $27 - $323 30%
Dell Chip/Chip Perinate $27 - $28 30%
Dell Star $27 - $28 30%
UnitedHealthcare $27 - $87 30%
Wellpoint Chip/Chip Perinate $27 - $35 30%
Wellpoint Star $27 - $28 30%
Wellpoint Star Plus $27 - $35 30%
Wellpoint Star Kids $35 39%
Humana $44 - $85 49%
Tricare $59 - $85 66%
Aarp Mc Wellmed $84 94%
Sendero Chap $84 94%
Addr Cancer Together $85 96%
Aetna $85 - $241 96%
Covid Hrsa $85 96%
Cshcn Cidc $85 96%
Devoted Health Mcr Replacement $85 96%
Medicare (plans) $85 96%
Research Study $85 96%
Smarthealth $85 96%
Superior Allwell $85 96%
Wellcare Med Advantage $85 96%
Connected Senior Care $88 99%
Pphp Mcr Advantage $90 101%
Tx Independence Hp $90 101%
Occunet $119 134%
Sendero Idealcare $149 168%
Cigna $194 218%
Covenant Health $241 271%
Seton Performance Plus $251 282%
Superior Star $342 - $634 385%
Superior Star Foster $342 - $634 385%
Superior Star Kids $342 - $634 385%
Superior Star Plus $342 - $634 385%
Superior Chip/Chip Perinate $385 - $713 433%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11113 Research Boulevard, Austin, TX 78759
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals