CMS Price Transparency Data

X-ray, shoulder

Facility: Southern Hills Hospital and Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $57
Cash Discount Price: $2,089
vs. Medicare Baseline: 0.64x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Southern Hills Hospital and Medical Center is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,089. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.64x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.

Cash / Self-Pay

$2,089

Average discount available for prompt cash payment at this facility.

Insurance Median

$57

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: $2,089 (2350%)

Insurance Median: $57 (64%)

Cash: $2,089 (2350% of Medicare)

Ins. Median: $57 (64% 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 - $125	7%
Sierra Hpn	$10 - $33	11%
Molina Healthcare	$10 - $34	11%
Community Care Health	$10 - $33	11%
Ambetter / Centene	$11 - $455	12%
Aetna	$54 - $55	61%
United	$59 - $473	66%
Legacy Provider Network	$72	81%
Corvel	$76 - $80	85%
Olympus Medsave USA	$80 - $1,627	90%
Sierra	$140	157%
Cigna	$201 - $452	226%
Select Health	$468 - $500	526%
Prominence Healthfirst	$651	732%
Cmn Global	$911	1025%
Evernorth	$1,084	1219%
Nv Health & Welfare Trust	$1,301	1463%
Multiplan	$1,366 - $1,583	1536%
First Health	$1,432 - $1,735	1611%
Medcare International	$1,627	1830%

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 $2,089.
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 Southern Hills Hospital and 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.