CMS Price Transparency Data

X-ray, shoulder

Facility: East Morgan County Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $32
  • Cash Discount Price: $20
  • vs. Medicare Baseline: 0.36x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at East Morgan County Hospital is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.36x the Medicare baseline. Located in 2400 W Edison St, Brush, CO.
Cash / Self-Pay
$20

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

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: $20 (22%)
Insurance Median: $32 (36%)
Cash: $20 (22% of Medicare)
Ins. Median: $32 (36% 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
Pinnacol Assurance Workers Comp $8 - $187 9%
Aetna $9 - $413 10%
Banner Health $9 - $191 10%
Blue Cross Blue Shield $9 - $364 10%
Clear Spring Health $9 - $191 10%
Devoted Health Services $9 - $210 10%
Healthspring Life & Health Insurance Company, Inc. $9 - $191 10%
Humana $9 - $202 10%
Longevity $9 - $197 10%
Medica $9 - $370 10%
Medicare (plans) $9 - $191 10%
Triwest Healthcare Alliance Corp - Va Ccn $9 - $191 10%
UnitedHealthcare $9 - $413 10%
Assist Health Group $10 - $229 11%
Denver Health Medical Plan $16 - $355 18%
Apostrophe, Inc. $18 - $400 20%
First Choice Health Network $18 - $400 20%
Hue Health, Inc $19 - $422 21%
Multiplan $19 - $431 21%
Rocky Mountain Health Plans $19 - $422 21%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 W Edison St, Brush, CO 80723
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals