CMS Price Transparency Data

X-ray, shoulder

Facility: PAM Rehabilitation Hospital of Corpus Christi

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $315
Cash Discount Price: $733
vs. Medicare Baseline: 3.54x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at PAM Rehabilitation Hospital of Corpus Christi is $315. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $733. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.54x the Medicare baseline. Located in 345 S Water St, Corpus Christi, TX.

Cash / Self-Pay

$733

Average discount available for prompt cash payment at this facility.

Insurance Median

$315

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: $733 (824%)

Insurance Median: $315 (354%)

Cash: $733 (824% of Medicare)

Ins. Median: $315 (354% 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 354% of the Medicare baseline (a markup of 254%). 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
Aetna	$17 - $85	19%
Driscoll Health Plan	$35	39%
Superior Health	$35	39%
Curative	$64	72%
Ambetter / Centene	$85	96%
Blue Cross Blue Shield	$85 - $92	96%
Christus Health Plan	$85	96%
Christus Spohn Health Network	$85 - $861	96%
Cigna	$85	96%
Ilumed Aco Reach	$85	96%
Imperial Insurance Of Texas	$85	96%
UnitedHealthcare	$85	96%
Wellcare Complete	$85	96%
Wellmed	$85	96%
Wellpoint (Amerigroup)	$85	96%
Texas Independence Health Plan	$90	101%
Velocity Provider Ppo Network	$102 - $1,076	115%
Prime Health Services	$111 - $1,219	125%
Ninety Degree Benefits	$128	144%
Sana Benefits	$128	144%
Healthcare Highways	$224 - $789	252%
America'S Choice Provider Network	$285 - $1,004	321%
Provider Network Of America	$305 - $1,076	343%
Quik Trip	$305 - $1,076	343%
Usa Managed Care Organization	$305 - $1,076	343%
Multiplan/Phcs	$326 - $1,147	367%

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 $733.
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 PAM Rehabilitation Hospital of Corpus Christi 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.