CPT 73020 Radiology
X-ray exam of shoulder Cost
Body System: Musculoskeletal
Medicare Facility Rate
$22
CMS PFS CY2026
Medicare Non-Facility Rate
$22
Office/clinic setting
Hospital Outpatient
$89
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.15
Work RVU
0.48
Facility PE RVU
0.02
Malpractice RVU
0.65
Total RVU
Frequently Asked Questions
How much does X-ray exam of shoulder cost?
The Medicare facility rate is $22. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $89.
How much does X-ray exam of shoulder cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $22.