CMS Price Transparency Data

X-ray, shoulder

Facility: CHI St Lukes Lakeside Hospital

Billing Code: 73030 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$136

about 1.5× the $89 Medicare rate · typically $76–$181

modeled estimate · not a bill or quote

What this hospital charges insurers

$136

About the fair price

1.5× Medicare

Medicare pays $89 Fair price $136 This hospital $136 Cash price $559 Hospital's list price $1,596

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $20 Priciest $136

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a X-ray, shoulder is about $136 (about 1.5× the $89 Medicare rate). CHI St Lukes Lakeside Hospital charges insurers about $136, or about $559 in cash — about the fair price. Located in The Woodlands, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$35 - $1,319	39%
Blue Cross Blue Shieldmajor	$35 - $269	39%
Aetnamajor	$90 - $1,085	101%
Cignamajor	$80 - $1,117	90%
Humanamajor	$88 - $1,037	99%
Ambetter (Centene)	$132	148%
Bright Health	$135	152%
Devoted Health	$94	106%
Health Net	$1,357 - $1,596	1526%
+ 13 smaller / regional plans	$64 - $1,117

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 559), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73030.

Insurance Before you use insurance

Call your insurance company to confirm CHI St Lukes Lakeside Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 73030.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at CHI St Lukes Lakeside Hospital

Compare: X-ray, shoulder at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.