CMS Price Transparency Data

X-ray, shoulder

Facility: Cook Childrens Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $101
  • Cash Discount Price: $235
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Cook Childrens Medical Center is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $235. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.14x the Medicare baseline. Located in 801 Seventh Avenue, Fort Worth, TX.
Cash / Self-Pay
$235

Average discount available for prompt cash payment at this facility.

Insurance Median
$101

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: $235 (264%)
Insurance Median: $101 (114%)
Cash: $235 (264% of Medicare)
Ins. Median: $101 (114% 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
Beacon $18 - $132 20%
Firstcare $18 - $439 20%
Health Plan W/O Uhrip $18 - $132 20%
Rightcare $26 - $184 29%
Molina $28 - $203 31%
Health Plan W. Uhrip $29 - $209 33%
El Paso Health First $34 - $242 38%
Tx Children Health $34 - $242 38%
Aetna $38 - $275 43%
UnitedHealthcare $44 - $467 49%
Blue Cross Blue Shield $58 - $461 65%
S&W Health $64 - $461 72%
Cigna $65 - $467 73%
Healthscope $65 - $467 73%
Imagine Health $65 - $467 73%
First Health $67 - $483 75%
Humana $67 - $483 75%
Multiplan $67 - $478 75%
Galaxy Health $69 - $494 78%
Usamco $70 - $505 79%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 Seventh Avenue, Fort Worth, TX 76104
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens