CMS Price Transparency Data
X-ray, shoulder
Facility: Mercy Hospital Northwest Arkansas
Billing Code: 73030 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73030
- Insurance Median: $149
- Cash Discount Price: $322
- vs. Medicare Baseline: 1.68x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Mercy Hospital Northwest Arkansas is $149. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $322. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.68x the Medicare baseline. Located in 2710 South Rife Medical Lane, Rogers, AR.
Cash / Self-Pay
$322
Average discount available for prompt cash payment at this facility.
Insurance Median
$149
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: $322 (362%)
Insurance Median: $149 (168%)
Cash: $322 (362% of Medicare)
Ins. Median: $149 (168% 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.
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 |
|---|---|---|
| Arkansas Department Of Health [20036] | $20 | 22% |
| Medicaid / KanCare | $20 - $113 | 22% |
| Summit Community Care Contracted [320368] | $20 | 22% |
| Summit Community Care [20368] | $20 | 22% |
| Aetna | $30 - $79 | 34% |
| Humana | $30 - $475 | 34% |
| Novasys Contracted [320285] | $32 - $113 | 36% |
| Cigna | $35 - $79 | 39% |
| First Health Contracted [320128] | $42 | 47% |
| Arkansas Total Care Contracted [320039] | $45 | 51% |
| Arkansas Total Care [20039] | $45 | 51% |
| Mercy Interfacility [20513] | $72 - $108 | 81% |
| Blue Cross Blue Shield | $77 - $86 | 87% |
| American Health Advantage Of Mo Mcr [20264] | $79 | 89% |
| Cherokee Nation Health Serv Contracted [320066] | $79 | 89% |
| Cross Timbers Hospice [20098] | $79 | 89% |
| Dept Of Veteran Affairs Contracted [320106] | $79 | 89% |
| Elara Caring Aspire Hospice Contracted [320433] | $79 | 89% |
| Elara Caring Aspire Hospice [20433] | $79 | 89% |
| Globalhealth Contracted [320145] | $79 | 89% |
| Halo Hcr Inc Hospice Contracted [320432] | $79 | 89% |
| Halo Hcr Inc Hospice [20432] | $79 | 89% |
| Independent Health [20197] | $79 | 89% |
| Jordan Valley Senior Care Pace [20515] | $79 | 89% |
| Kindful Hospice Contracted [320434] | $79 | 89% |
| Kindful Hospice [20434] | $79 | 89% |
| Medical Associates Health [20444] | $79 | 89% |
| Medicare (plans) | $79 - $82 | 89% |
| Mercy Hospice Okc [20252] | $79 | 89% |
| Pace Of The Ozarks [20518] | $79 | 89% |
| Provider Partners Health Plans Contracted [320450] | $79 | 89% |
| Qual Choice Contracted [320325] | $79 | 89% |
| Spina Bifida Hlthcare Benefit [20506] | $79 | 89% |
| Tribute Health Plan Mcr [20338] | $79 | 89% |
| Tricare | $79 | 89% |
| UnitedHealthcare | $79 - $160 | 89% |
| Valir Pace [20503] | $79 | 89% |
| Wellfirst Health Mcr [20443] | $79 | 89% |
| Usable Contracted [320409] | $86 | 97% |
| St Johns Mercy Rehab Llc Contracted [320359] | $89 | 100% |
| St Johns Mercy Rehab Llc [20359] | $89 | 100% |
| Aither Health Contracted [320449] | $99 - $148 | 111% |
| Edison Health Solutions Contracted [320502] | $99 - $148 | 111% |
| Mercy Benefit Admin Contracted [320251] | $99 - $356 | 111% |
| Yuzu Health Contracted [320521] | $99 - $148 | 111% |
| Ambetter / Centene | $113 | 127% |
| Home State Health Plan Contracted [320187] | $113 | 127% |
| Qual Choice Contracted [320324] | $136 | 153% |
| United Medical Resources Contracted [320454] | $160 | 180% |
| Health Choice Contracted [320166] | $176 | 198% |
| 90 Degree Benefits Contracted [320436] | $198 - $297 | 223% |
| Show-Me Health Administrators Contracted [320483] | $198 - $297 | 223% |
| Auxiant Contracted [320462] | $238 - $386 | 268% |
| Ebms Contracted [320493] | $238 - $356 | 268% |
| Healthlink Contracted [320179] | $238 - $386 | 268% |
| Imagine 360 Contracted [320494] | $238 - $356 | 268% |
| Municipal Health Plan Contracted [320271] | $238 - $356 | 268% |
| Reflect Health Contracted [320492] | $238 - $356 | 268% |
| Benefit Management Contracted [320052] | $257 - $386 | 289% |
| Federal Medical Center Contracted [320127] | $257 - $386 | 289% |
| Insurance System Inc Contracted [320465] | $257 - $386 | 289% |
| Personify Health Contracted [320051] | $257 - $386 | 289% |
| Point C Contracted [320238] | $257 - $386 | 289% |
| Preferred Health Plan Contracted [320522] | $257 - $386 | 289% |
| Tri State Healthcare Coalition Contracted [320379] | $257 - $386 | 289% |
| Workers Comp [20426] | $257 - $386 | 289% |
| Employers Health Coalition Contracted [320116] | $277 - $416 | 312% |
| Private Health Care Systems Contracted [320320] | $289 - $434 | 325% |
| Private Health Care Systems [20320] | $289 - $434 | 325% |
| Ppo Plus Contracted [320310] | $297 - $446 | 334% |
| Healthscope Contracted [320182] | $317 - $475 | 357% |
| Multiplan Contracted [320270] | $337 - $505 | 379% |
| Multiplan [20270] | $337 - $505 | 379% |