CMS Price Transparency Data

X-ray, shoulder

Facility: Memorial Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $106
  • Cash Discount Price: $146
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Memorial Medical Center is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.19x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$146

Average discount available for prompt cash payment at this facility.

Insurance Median
$106

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: $146 (164%)
Insurance Median: $106 (119%)
Cash: $146 (164% of Medicare)
Ins. Median: $106 (119% 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
Ambetter / Centene $9 - $130 10%
Amerigroup Mcr Adv-All Other Plans $9 - $108 10%
Care Improvement Plus - All Other Plans $9 - $108 10%
Care Improvement Plus Mcr $9 - $109 10%
Superior Allwell Mcr Adv-All Other Plans $9 - $108 10%
Triwest Va Pccc-All Plans $9 - $106 10%
UnitedHealthcare $9 - $310 10%
Universal American Mcr-All Other Plans $9 - $108 10%
Universal American Snp $9 - $114 10%
Coventry First Hlth Hmo Ppo-All Other Plans $11 - $310 12%
Coventry First Hlth Mcr Adv $11 - $108 12%
Capstar Health Network-All Plans $13 - $310 15%
Cigna $13 - $290 15%
Galaxy Health Network-All Plans $13 - $329 15%
Healthcare Highways-All Plans $19 - $310 21%
Prime Healthcare Services-All Plans $21 - $271 24%
Blue Cross Blue Shield $22 - $247 25%
Humana $24 - $310 27%
Corvel Work Comp-All Plans $25 - $329 28%
Independent Med Sys Ppo-All Plans $25 - $329 28%
Multiplan Mcr Adv $25 - $108 28%
Multiplan Phcs Ppo-All Other Plans $25 - $329 28%
Provider Select Ppo-All Plans $25 - $329 28%
Three Rivers Ppo-All Plans $25 - $329 28%
Usa Mso - All Plans $25 - $329 28%
Amerigroup Chip $30 - $186 34%
Amerigroup Star $30 - $186 34%
Amerigroup Star Kids $30 - $186 34%
Amerigroup Star Plus $30 - $186 34%
Comm Health Chip $30 - $186 34%
Comm Health Perinatal-All Other Plans $30 - $186 34%
Molina Chip/Star-All Plans $30 - $186 34%
Scott & White Chip/Star-All Plans $30 - $186 34%
Superior Chip/Star $30 - $186 34%
Texas Childrens Hp - All Plans $30 - $186 34%
Comm Health Mcaid Hmo $31 - $195 35%
Comm Health Star $31 - $195 35%
Aetna $310 349%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals