CMS Price Transparency Data

X-ray, shoulder

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $74
Cash Discount Price: $789
vs. Medicare Baseline: 0.83x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Univ. of Vermont - Fletcher Allen Health Care is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $789. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.83x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.

Cash / Self-Pay

$789

Average discount available for prompt cash payment at this facility.

Insurance Median

$74

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: $789 (887%)

Insurance Median: $74 (83%)

Cash: $789 (887% of Medicare)

Ins. Median: $74 (83% 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.

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	$6 - $764	7%
UnitedHealthcare	$6 - $777	7%
Mvp	$7 - $581	8%
Aetna	$9 - $89	10%
Capital District Physicians' Health Plan	$9 - $591	10%
Humana	$9 - $221	10%
Martins Point	$9 - $91	10%
St. Regis	$9 - $89	10%
Veterans Affairs Community Care Network	$9 - $89	10%
Fidelis Care	$10 - $98	11%
Wellpath	$12 - $434	13%
Ebpa	$32 - $679	36%
Harvard Pilgrim	$33 - $631	37%
Magnacare	$33 - $631	37%
Coventry	$35 - $671	39%
Nppn	$37 - $710	42%
Cigna	$38 - $710	43%

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 $789.
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 Univ. of Vermont - Fletcher Allen Health Care 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.