CMS Price Transparency Data

X-ray, shoulder

Facility: Holy Cross Hospital-Davis

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $415
Cash Discount Price: $361
vs. Medicare Baseline: 4.67x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Holy Cross Hospital-Davis is $415. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $361. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.67x the Medicare baseline. Located in 1600 West Antelope Drive, Layton, UT.

Cash / Self-Pay

$361

Average discount available for prompt cash payment at this facility.

Insurance Median

$415

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: $361 (406%)

Insurance Median: $415 (467%)

Cash: $361 (406% of Medicare)

Ins. Median: $415 (467% 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 467% of the Medicare baseline (a markup of 367%). 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
Select Health	$11 - $444	12%
Medicaid / KanCare	$20	22%
Uuhp	$20 - $117	22%
Humana	$23	26%
Medicare (plans)	$23	26%
Employer Direct Healthcare	$29	33%
Motivhealth	$30	34%
Molina	$53 - $388	60%
Blue Cross Blue Shield	$87 - $542	98%
Centura Employee Plan	$91	102%
Cigna	$92 - $722	103%
Pehp	$257 - $524	289%
Aetna	$266 - $763	299%
Wise	$313 - $478	352%
Deseret Mutual Benefit Administrators	$370 - $554	416%
Multiplan	$415 - $822	467%
UnitedHealthcare	$436 - $903	490%
Emi Health	$524 - $785	589%

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 $361.
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 Holy Cross Hospital-Davis 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.