CMS Price Transparency Data

X-ray, shoulder

Facility: Medical City Green Oaks Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $395
Cash Discount Price: $658
vs. Medicare Baseline: 4.44x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Medical City Green Oaks Hospital is $395. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $658. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.44x the Medicare baseline. Located in 7808 Clodus Fields Drive, Dallas, TX.

Cash / Self-Pay

$658

Average discount available for prompt cash payment at this facility.

Insurance Median

$395

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: $658 (740%)

Insurance Median: $395 (444%)

Cash: $658 (740% of Medicare)

Ins. Median: $395 (444% 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 444% of the Medicare baseline (a markup of 344%). 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
Superior Health Plan	$46	52%
Humana	$80 - $428	90%
Healthcare Highways	$161 - $222	181%
Evry Health	$170	191%
City Of Mckinney	$296	333%
Pc Texas Partners	$362	407%
Physicians Coop Of Tx	$362	407%
Averde Health, Inc	$382	430%
Aetna	$395 - $464	444%
Magellan Bh	$395	444%
Value Options Behavioral Health	$395	444%
Usa Managed Care	$428	481%
Coastal Comp Health Networks	$460	517%
Cigna	$526	592%
Compsych Corporation	$526	592%
Galaxy Health Network	$559	629%
Three Rivers Provider Network	$592	666%
Independent Medical Systems	$658	740%
National Healthcare Solutions	$658	740%

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 $658.
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 Medical City Green Oaks Hospital 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.