CMS Price Transparency Data

X-ray, shoulder

Facility: Cody Regional Health

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $152
Cash Discount Price: $185
vs. Medicare Baseline: 1.71x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Cody Regional Health is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $185. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.71x the Medicare baseline. Located in 707 Sheridan Avenue, Cody, WY.

Cash / Self-Pay

$185

Average discount available for prompt cash payment at this facility.

Insurance Median

$152

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: $185 (208%)

Insurance Median: $152 (171%)

Cash: $185 (208% of Medicare)

Ins. Median: $152 (171% 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
Medica Comm - All Other Plans	$9 - $298	10%
Tricare	$9 - $152	10%
Mountain Health - All Plans	$14 - $298	16%
Blue Cross Blue Shield	$38 - $315	43%
Pacific Source - All Plans	$53 - $298	60%
Christian Hlthcare - All Plans	$83 - $265	93%
Cigna	$94 - $263	106%
First Choice Health - All Plans	$94 - $298	106%
Humana	$94 - $308	106%
Interwest Health Ppo - All Plans	$96 - $305	108%
First Health Ntwrk-All Plans	$97 - $308	109%
Three Rivers - All Plans	$99 - $315	111%
UnitedHealthcare	$99 - $308	111%
Rocky Mtn Admin - All Plans	$298	335%

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 $185.
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 Cody Regional Health 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.