CMS Price Transparency Data

X-ray, shoulder

Facility: Baylor Scott & White Medical Center - Round Rock

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $292
Cash Discount Price: $370
vs. Medicare Baseline: 3.28x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Baylor Scott & White Medical Center - Round Rock is $292. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $370. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.28x the Medicare baseline. Located in 300 University Blvd, Round Rock, TX.

Cash / Self-Pay

$370

Average discount available for prompt cash payment at this facility.

Insurance Median

$292

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: $370 (416%)

Insurance Median: $292 (328%)

Cash: $370 (416% of Medicare)

Ins. Median: $292 (328% 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 328% of the Medicare baseline (a markup of 228%). 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	$35 - $81	39%
Baylor Scott & White Health Plan	$77 - $264	87%
Humana	$81 - $431	91%
Triwest	$81	91%
Aetna	$85 - $339	96%
American Health Plan	$85	96%
Blue Cross Blue Shield	$85 - $306	96%
Corvel	$85	96%
Healthspring	$85	96%
Prime Health Services	$85	96%
Procare Advantage	$85	96%
UnitedHealthcare	$93 - $426	105%
Injury Management Organization	$101	114%
Careworks Fka Rockport	$122	137%
Sedgwick	$122	137%
Cigna	$293 - $371	330%
Midcoast	$339	381%
Quiktrip	$339	381%
University Of Mary Hardin-Baylor	$357	402%
Independent Medical System	$370	416%
Curative	$400	450%
First Health	$431	485%
Healthsmart	$431 - $462	485%
Bluebell Creameries	$462	520%
Private Health Care System	$462	520%
Three Rivers	$554	623%

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 $370.
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 Baylor Scott & White Medical Center - Round Rock 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.