CMS Price Transparency Data

X-ray, shoulder

Facility: Jefferson Healthcare

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $96
Cash Discount Price: $54
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Jefferson Healthcare is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.08x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.

Cash / Self-Pay

$54

Average discount available for prompt cash payment at this facility.

Insurance Median

$96

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: $54 (61%)

Insurance Median: $96 (108%)

Cash: $54 (61% of Medicare)

Ins. Median: $96 (108% 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
Tricare	$9 - $147	10%
Aetna	$10 - $377	11%
Chpw Mcr Adv	$10 - $158	11%
Medicare (plans)	$11 - $150	12%
Molina Marketplace-All Other Plans	$11 - $183	12%
Molina Mcr Adv	$11 - $147	12%
Chpw Commercial-All Other Plans	$14 - $356	16%
Coord Care Comm/Exchge-All Other Plans	$15 - $377	17%
Amerigroup Mcaid-All Plans	$22 - $138	25%
Chpw Mcaid	$22 - $131	25%
Molina Mcaid	$22 - $134	25%
Regence-All Other Plans	$22 - $314	25%
Premera-All Plans	$25 - $356	28%
Cigna	$26 - $377	29%
Coord Care Mcaid Ip/Op Only	$140	157%
UnitedHealthcare	$235	264%
Coord Care Cascade Ip/Op Only	$377	424%

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 $54.
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 Jefferson Healthcare 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.