CMS Price Transparency Data

X-ray, shoulder

Facility: Cjw Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $418
Cash Discount Price: $1,900
vs. Medicare Baseline: 4.70x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Cjw Medical Center is $418. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,900. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.70x the Medicare baseline. Located in 7101 Jahnke Road, Richmond, VA.

Cash / Self-Pay

$1,900

Average discount available for prompt cash payment at this facility.

Insurance Median

$418

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: $1,900 (2137%)

Insurance Median: $418 (470%)

Cash: $1,900 (2137% of Medicare)

Ins. Median: $418 (470% 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 470% of the Medicare baseline (a markup of 370%). 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	$28 - $156	31%
Cigna	$168 - $177	189%
United	$182 - $855	205%
Lifeworks	$361	406%
Universal Healthcare Group	$418	470%
Virginia Health Network	$665 - $1,235	748%
Greenvbrier Sporting Club	$1,139 - $1,140	1281%
Value Options	$1,139 - $1,140	1281%
Corvel	$1,367 - $1,368	1538%
Evernorth	$1,519 - $1,520	1708%
Occunet Workers Comp	$1,519 - $1,520	1708%
4Most Health Nework	$1,709 - $1,710	1922%
Multiplan	$1,709 - $1,710	1922%

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 $1,900.
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 Cjw 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.