CMS Price Transparency Data
X-ray, shoulder
Facility: Mercy Hospital Berryville
Billing Code: 73030 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73030
- Insurance Median: $170
- Cash Discount Price: $330
- vs. Medicare Baseline: 1.91x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Mercy Hospital Berryville is $170. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $330. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.91x the Medicare baseline. Located in 214 Carter Street, Berryville, AR.
Cash / Self-Pay
$330
Average discount available for prompt cash payment at this facility.
Insurance Median
$170
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: $330 (371%)
Insurance Median: $170 (191%)
Cash: $330 (371% of Medicare)
Ins. Median: $170 (191% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $20 - $248 | 22% |
| Summit Community Care Contracted [320368] | $20 | 22% |
| Summit Community Care [20368] | $20 | 22% |
| Arkansas Total Care Contracted [320039] | $45 | 51% |
| Blue Cross Blue Shield | $75 - $163 | 84% |
| UnitedHealthcare | $75 - $163 | 84% |
| Aetna | $96 - $163 | 108% |
| American Health Advantage Of Mo Mcr [20264] | $96 - $163 | 108% |
| Cherokee Nation Health Serv Contracted [320066] | $96 - $163 | 108% |
| Cross Timbers Hospice [20098] | $96 - $163 | 108% |
| Dept Of Veteran Affairs Contracted [320106] | $96 - $163 | 108% |
| Elara Caring Aspire Hospice [20433] | $96 - $163 | 108% |
| Globalhealth Contracted [320145] | $96 - $163 | 108% |
| Halo Hcr Inc Hospice Contracted [320432] | $96 - $163 | 108% |
| Halo Hcr Inc Hospice [20432] | $96 - $163 | 108% |
| Humana | $96 - $543 | 108% |
| Independent Health [20197] | $96 - $163 | 108% |
| Indian Health Service Contracted [320198] | $96 - $163 | 108% |
| Indian Health Service [20198] | $96 - $163 | 108% |
| Jordan Valley Senior Care Pace [20515] | $96 - $163 | 108% |
| Kindful Hospice Contracted [320434] | $96 - $163 | 108% |
| Kindful Hospice [20434] | $96 - $163 | 108% |
| Medical Associates Health [20444] | $96 - $163 | 108% |
| Medicare (plans) | $96 - $171 | 108% |
| Mercy Hospice Okc [20252] | $96 - $163 | 108% |
| Mercy Mgd Behavioral Health Contracted [320259] | $96 - $163 | 108% |
| Pace Of The Ozarks [20518] | $96 - $163 | 108% |
| Provider Partners Health Plans Contracted [320450] | $96 - $163 | 108% |
| Qual Choice Contracted [320325] | $96 - $163 | 108% |
| Spina Bifida Hlthcare Benefit [20506] | $96 - $163 | 108% |
| Valir Pace [20503] | $96 - $163 | 108% |
| Wellfirst Health Mcr [20443] | $96 - $163 | 108% |
| Tricare | $98 - $166 | 110% |
| Cigna | $101 - $171 | 114% |
| Mercy Interfacility [20513] | $110 - $186 | 124% |
| Healthscope Contracted [320182] | $120 - $204 | 135% |
| Qual Choice Contracted [320324] | $136 | 153% |
| Ambetter / Centene | $146 - $248 | 164% |
| Home State Health Plan Contracted [320187] | $146 - $248 | 164% |
| Novasys Contracted [320285] | $153 - $259 | 172% |
| United Medical Resources Contracted [320454] | $160 - $543 | 180% |
| Administrative Payor Contracted [320005] | $170 - $288 | 191% |
| Auxiant Contracted [320462] | $226 - $575 | 254% |
| Healthlink Contracted [320179] | $245 - $543 | 276% |
| Mercy Benefit Admin Contracted [320251] | $245 - $543 | 276% |
| Personify Health Contracted [320051] | $245 - $415 | 276% |
| Preferred Health Plan Contracted [320522] | $245 - $415 | 276% |
| Insurance System Inc Contracted [320465] | $302 - $511 | 340% |
| Point C Contracted [320238] | $302 - $511 | 340% |
| Medica Contracted [320239] | $319 - $541 | 359% |
| 90 Degree Benefits Contracted [320436] | $320 - $543 | 360% |
| Aither Health Contracted [320449] | $320 - $543 | 360% |
| Benefit Management Contracted [320052] | $320 - $543 | 360% |
| Ebms Contracted [320493] | $320 - $543 | 360% |
| Edison Health Solutions Contracted [320502] | $320 - $543 | 360% |
| First Health Contracted [320128] | $320 - $543 | 360% |
| Healthsmart Preferred Care Contracted [320184] | $320 - $543 | 360% |
| Imagine 360 Contracted [320494] | $320 - $543 | 360% |
| Ppo Plus Contracted [320310] | $320 - $543 | 360% |
| Reflect Health Contracted [320492] | $320 - $543 | 360% |
| Show-Me Health Administrators Contracted [320483] | $320 - $543 | 360% |
| Multiplan Contracted [320270] | $358 - $607 | 403% |
| Private Health Care Systems Contracted [320320] | $358 - $607 | 403% |