CPT 73030 Radiology

X-ray exam of shoulder Cost

Body System: Musculoskeletal

Medicare Facility Rate
$16
CMS PFS CY2026
Medicare Non-Facility Rate
$53
Office/clinic setting
Hospital Outpatient
$89
OPPS rate

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

0.22
Work RVU
0.24
Facility PE RVU
0.03
Malpractice RVU

Cost by Location

Location Medicare Rate Est. Commercial
AK — ALASKA $41 $53 — $81
AL — ALABAMA $32 $42 — $64
AR — ARKANSAS $31 $41 — $63
AZ — ARIZONA $35 $45 — $70
CA — BAKERSFIELD $39 $50 — $77
CA — CHICO $39 $50 — $77
CA — EL CENTRO $39 $50 — $77
CA — FRESNO $39 $50 — $77
CA — HANFORD-CORCORAN $39 $50 — $77
CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) $41 $54 — $83
CA — MADERA $39 $50 — $77
CA — MERCED $39 $50 — $77
CA — MODESTO $39 $50 — $77
CA — NAPA $45 $59 — $91
CA — OXNARD-THOUSAND OAKS-VENTURA $41 $53 — $82
CA — REDDING $39 $50 — $77
CA — REST OF CALIFORNIA $39 $50 — $77
CA — RIVERSIDE-SAN BERNARDINO-ONTARIO $39 $50 — $77
CA — SACRAMENTO-ROSEVILLE-FOLSOM $41 $53 — $81
CA — SALINAS $40 $53 — $81

Frequently Asked Questions

How much does X-ray exam of shoulder cost?

The Medicare facility rate is $16. 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 $16.

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