CMS Price Transparency Data

X-ray, shoulder

Facility: Lewisgale Hospital Pulaski

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $1,357
Cash Discount Price: $2,232
vs. Medicare Baseline: 15.26x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Lewisgale Hospital Pulaski is $1,357. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,232. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 15.26x the Medicare baseline. Located in 2400 Lee Highway, Pulaski, VA.

Cash / Self-Pay

$2,232

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,357

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: $2,232 (2510%)

Insurance Median: $1,357 (1526%)

Cash: $2,232 (2510% of Medicare)

Ins. Median: $1,357 (1526% 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 1526% of the Medicare baseline (a markup of 1426%). 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	$32 - $143	36%
United	$182 - $1,205	205%
Lifeworks	$339 - $509	381%
Universal Healthcare Group	$393 - $589	442%
Virginia Health Network	$625 - $1,901	703%
Aetna	$803 - $1,205	903%
Greenvbrier Sporting Club	$1,071 - $1,607	1205%
Corvel	$1,285 - $1,928	1445%
Richfield Nursing Center	$1,339 - $2,008	1506%
Richfield Retirement Community	$1,339 - $2,008	1506%
Multiplan	$1,374 - $2,062	1545%
Community Care Network	$1,428 - $2,142	1606%
Graham-White Manufacturing	$1,428 - $2,142	1606%
Occunet Workers Comp	$1,428 - $2,142	1606%
One Health Plan	$1,428 - $2,142	1606%
Patients Choice	$1,571 - $2,357	1767%
4Most	$1,606 - $2,410	1806%
American Postal Workers Union	$1,606 - $2,410	1806%
Phcs	$1,606 - $2,410	1806%
Star Transportation	$1,606 - $2,410	1806%

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 $2,232.
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 Hospital Pulaski 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.