CPT73030

Shoulder X-Ray Cost in Maryland

X-ray exam of shoulder

$125Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Maryland Medicare physician rate (2026)

+3.8% vs national

Average of 2 localities. Office range $36.09–$38.11.

Maryland (Hospital)
$37.10
Facility physician fee
Private plan est.
$48–$74
~130–200% of Medicare
Cash / self-pay est.
$30–$56
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Physician fee alone
$36
Only 29% of the hospital total

Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Maryland

A ZIP lookup matters in Maryland because three different locality treatments are in play: check whether you fall in the Baltimore area, the DC suburbs like Bethesda and Silver Spring, or rest-of-state regions like Frederick, Hagerstown, and the Eastern Shore.

What shoulder x-ray costs at hospitals near you

Everything above is a national average. The hospital you pick in Maryland moves the bill more than anything else you control.

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Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.

National vs Maryland

National office$35.74
National hospital (physician)$35.74
Maryland vs national4% above the national office rate of $35.74

Where Maryland ranks for this CPT

Rank (lowest physician fee first)#41 of 51
Lowest stateArkansas ($31.32)
Highest stateDistrict of Columbia ($41.31)

CPT 73030 by Maryland locality

LocalityOffice
baltimore/surr. cntys$38.11
rest of maryland$36.09

PE GPCI ranges from 1.012 to 1.073 in Maryland. That index is why the same CPT is not one price statewide.

Shoulder X-Ray and how Maryland is priced

Maryland's Medicare physician pricing is split geographically: Baltimore and its surrounding counties form one locality, the rest of the state another, and, unusually, the Washington suburbs including Montgomery and Prince George's counties are priced inside the District of Columbia's high-cost locality rather than either Maryland one. That three-way carve means a Rockville procedure is approved at DC-area rates while an identical one in Frederick or Salisbury is not. Baltimore-area adjustments sit above rest-of-state levels but below the DC locality. Few states have their pricing shaped this much by a neighboring jurisdiction.

Maryland is also the only state with an all-payer rate-setting system for hospital services, so hospital-side billing works differently here than anywhere else in the country, though physician fees still follow the standard Medicare schedule. Baltimore's academic medical centers rank among the most prominent in the world and draw patients globally. The Eastern Shore and western Maryland are far more rural, with patients often traveling to Baltimore, Annapolis, or across state lines.

This procedure: A shoulder X-ray takes two or more views of the shoulder joint in a few minutes, checking for fractures, dislocations, arthritis, or calcium deposits. It is usually the first imaging test for shoulder pain because it is fast and inexpensive, even though it cannot see the rotator cuff tendons themselves. You stand or sit while the technologist positions your arm for each view; no preparation is needed and the radiation dose is small.

What Is Shoulder X-Ray?

A shoulder X-ray takes two or more views of the shoulder joint in a few minutes, checking for fractures, dislocations, arthritis, or calcium deposits. It is usually the first imaging test for shoulder pain because it is fast and inexpensive, even though it cannot see the rotator cuff tendons themselves. You stand or sit while the technologist positions your arm for each view; no preparation is needed and the radiation dose is small.

What Affects the Cost

  • An orthopedic office with in-house X-ray often bills less overall than a hospital radiology department for the same views.
  • The radiologist or orthopedist reading fee may be billed separately from the technical charge.
  • Because X-rays cannot show tendons, a normal result often leads to a shoulder MRI, which costs many times more.
  • ER imaging for a suspected dislocation carries emergency facility pricing.
  • Comparison views of the other shoulder, when ordered, can add a second billed study.

Questions to Ask Before Booking

  • 1.Is the X-ray billed on top of today's visit charge, and at what price?
  • 2.Who reads the images, and is their fee separate?
  • 3.If the X-ray is normal, will you order an MRI, and what will that authorization and cost look like?
  • 4.Do you need views of both shoulders for comparison, and does that double the imaging charge?
  • 5.Can I get the images done here in your office rather than at the hospital?

Shoulder X-Ray in Maryland: questions

The 2026 Medicare physician office rate for CPT 73030 averages $37.10 across 2 Maryland localities, from $36.09 in REST OF MARYLAND to $38.11 in BALTIMORE/SURR. CNTYS. The hospital physician rate averages $37.10. Enter a ZIP for the exact locality.

Yes. CMS splits Maryland into 2 payment localities. For this CPT the office physician fee spans $2.02 from the lowest to highest locality. A ZIP lookup matters in Maryland because three different locality treatments are in play: check whether you fall in the Baltimore area, the DC suburbs like Bethesda and Silver Spring, or rest-of-state regions like Frederick, Hagerstown, and the Eastern Shore.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $7 for the office physician line or $7 for the hospital physician line in Maryland. Medigap may cover that 20%. This is not the hospital facility fee.

No. $37.10 is only the physician's share. Adding Medicare's facility payment brings the total to about $125 in a hospital outpatient department. Anesthesia, pathology and other codes billed the same day are extra. Maryland ranks #41 of 51 states on the physician line (4% above the national office rate of $35.74).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.