CMS Price Transparency Data

X-ray, shoulder

Facility: Seton Medical Center Harker Heights

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $390
Cash Discount Price: $83
vs. Medicare Baseline: 4.39x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Seton Medical Center Harker Heights is $390. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.39x the Medicare baseline. Located in 850 W Central Texas Expressway, Harker Heights, TX.

Cash / Self-Pay

$83

Average discount available for prompt cash payment at this facility.

Insurance Median

$390

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: $83 (93%)

Insurance Median: $390 (439%)

Cash: $83 (93% of Medicare)

Ins. Median: $390 (439% 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 439% of the Medicare baseline (a markup of 339%). 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
Healthscope Benefits [2290]	$120 - $180	135%
UnitedHealthcare	$120 - $390	135%
Aetna	$123 - $574	138%
Healthcare Highways [2210]	$260 - $390	292%
Medicaid / KanCare	$260 - $1,071	292%
Oncology Patient Assistance Programs [2295]	$260 - $390	292%
Selecthealth [3740]	$260 - $390	292%
Web Tpa [2115]	$260 - $800	292%
Humana	$436 - $654	490%
Blue Cross Blue Shield	$493 - $740	554%
First Care Commercial [1371]	$500 - $750	562%
Allied Benefit Systems Inc [1030]	$533 - $800	599%
Cigna	$577 - $865	649%

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 $83.
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 Seton Medical Center Harker Heights 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.