CMS Price Transparency Data

X-ray, shoulder

Facility: Lewisgale Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $909
Cash Discount Price: $1,467
vs. Medicare Baseline: 10.22x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Lewisgale Medical Center is $909. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,467. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 10.22x the Medicare baseline. Located in 1900 Electric Road, Salem, VA.

Cash / Self-Pay

$1,467

Average discount available for prompt cash payment at this facility.

Insurance Median

$909

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: $1,467 (1650%)

Insurance Median: $909 (1022%)

Cash: $1,467 (1650% of Medicare)

Ins. Median: $909 (1022% 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 1022% of the Medicare baseline (a markup of 922%). 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
Blue Cross Blue Shield	$41 - $187	46%
United	$182 - $792	205%
Cigna	$204 - $306	229%
Lifeworks	$223 - $335	251%
Universal Healthcare Group	$258 - $387	290%
Virginia Health Network	$410 - $1,250	461%
Naphcare	$586 - $880	659%
Greenvbrier Sporting Club	$703 - $1,057	791%
Graham-White Manufacturing	$820 - $1,233	922%
Richfield Nursing Center	$820 - $1,233	922%
Corvel	$844 - $1,268	949%
Community Care Network	$879 - $1,321	989%
Richfield Retirement Community	$879 - $1,321	989%
Csx Hotels	$938 - $1,409	1055%
Occunet Workers Comp	$938 - $1,409	1055%
One Health Plan	$938 - $1,409	1055%
Patients Choice	$1,031 - $1,550	1160%
4Most	$1,055 - $1,585	1187%
Alleghany Highland Community	$1,055 - $1,585	1187%
American Postal Workers Union	$1,055 - $1,585	1187%
C&O Employees Hospital Assn	$1,055 - $1,585	1187%
Multiplan	$1,055 - $1,585	1187%
Phcs	$1,055 - $1,585	1187%
Star Transportation	$1,055 - $1,585	1187%

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 $1,467.
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 Lewisgale Medical Center 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.