CMS Price Transparency Data

X-ray, shoulder

Facility: Childrens Medical Ctr of Dallas

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $435
Cash Discount Price: $467
vs. Medicare Baseline: 4.89x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Childrens Medical Ctr of Dallas is $435. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $467. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.89x the Medicare baseline. Located in 1935 Medical District Drive, Dallas, TX.

Cash / Self-Pay

$467

Average discount available for prompt cash payment at this facility.

Insurance Median

$435

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: $467 (525%)

Insurance Median: $435 (489%)

Cash: $467 (525% of Medicare)

Ins. Median: $435 (489% 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 489% of the Medicare baseline (a markup of 389%). 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
Aetna	$29 - $435	33%
Humana	$29 - $466	33%
Medicaid / KanCare	$29	33%
Oklahoma Complete Health	$29	33%
Superior Health Plan	$37	42%
Firstcare Health	$149	168%
Molina Healthcare	$199	224%
Parkland Community	$205	231%
Texas Children'S Health Plan	$205	231%
Wellpoint	$205	231%
Cookchildren'S Health Plan	$211	237%
Carelon	$230 - $305	259%
Blue Cross Blue Shield	$249 - $423	280%
UnitedHealthcare	$330 - $466	371%
Methodist	$354	398%
Cigna	$411 - $429	462%
Employers Health Network	$435	489%
Imagine Health	$435	489%
Scott & White	$442	497%
Txp Emerging Therapy Solutions	$442	497%
Healthsmart	$454 - $529	511%
Healthscope Benefit Solutions	$466	524%
Phcs	$466	524%
Quiktrip (Qt)	$466	524%
Txp Interlink	$466	524%
Coventry Health	$498	560%
Equifax Healthcare	$529	595%
Multiplan	$529	595%
Usa Managed Care	$578	650%
Galaxy Health	$603	678%

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 $467.
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 Childrens Medical Ctr of Dallas 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.