CMS Price Transparency Data

X-ray, shoulder

Facility: CHI St Lukes Lakeside Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $138
Cash Discount Price: $559
vs. Medicare Baseline: 1.55x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at CHI St Lukes Lakeside Hospital is $138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $559. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.55x the Medicare baseline. Located in 17400 St Lukes Way, The Woodlands, TX.

Cash / Self-Pay

$559

Average discount available for prompt cash payment at this facility.

Insurance Median

$138

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: $559 (629%)

Insurance Median: $138 (155%)

Cash: $559 (629% of Medicare)

Ins. Median: $138 (155% 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.

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
United	$35 - $750	39%
Wellpoint	$35 - $132	39%
UnitedHealthcare	$36 - $1,319	40%
Blue Cross Blue Shield	$37 - $269	42%
Chc	$40 - $878	45%
Renaissance	$64	72%
Cigna	$80 - $1,117	90%
Humana	$88 - $1,037	99%
Kelsey	$88	99%
Selectcare	$88	99%
Aetna	$90 - $1,085	101%
Amerivantage	$91	102%
Devoted	$94	106%
Scanhealth	$94	106%
Kindred	$97	109%
Kelseycare	$119	134%
Tchp	$128 - $171	144%
Ambetter / Centene	$132	148%
Community Health Choice	$132	148%
Harris Health	$132	148%
Bright Health	$135	152%
Nx Health	$287	323%
Tchpchip	$559 - $702	629%
Texastruechoice	$878	988%
Coventry	$1,037	1166%
First Health	$1,037	1166%
Healthsmart	$1,117	1256%
Interlink	$1,117	1256%
Multiplan	$1,197	1346%
USA Health Network	$1,357	1526%
Mhealth Network	$1,596	1795%

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 $559.
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 CHI St Lukes Lakeside 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.