CMS Price Transparency Data

X-ray, shoulder

Facility: Medical City Alliance

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $111
Cash Discount Price: $1,491
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Medical City Alliance is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,491. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.25x the Medicare baseline. Located in 3101 North Tarrant Parkway, Fort Worth, TX.

Cash / Self-Pay

$1,491

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $1,491 (1677%)

Insurance Median: $111 (125%)

Cash: $1,491 (1677% of Medicare)

Ins. Median: $111 (125% 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
Amerigroup	$35	39%
Cook Childrens Health Plan	$35	39%
Parkland Community Health Plan	$35	39%
United	$35 - $451	39%
Cigna	$37 - $278	42%
Aetna	$38 - $1,445	43%
Molina	$39	44%
Humana	$44 - $80	49%
Superior Health Plan	$70 - $139	79%
Blue Cross Blue Shield	$95 - $883	107%
Healthcare Highways	$244 - $672	274%
Evry Health	$257 - $513	289%
Curative Administrators	$398 - $795	448%
Multiplan Phcs	$696 - $1,391	783%
Healthsmart Preferred Care	$746 - $1,491	839%
Independent Medical Systems	$995 - $1,988	1119%
National Healthcare Solutions	$995 - $1,988	1119%

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 $1,491.
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 Alliance 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.