CMS Price Transparency Data
X-ray, shoulder
Facility: Johnson Memorial Hospital
Billing Code: 73030 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73030
- Insurance Median: $112
- Cash Discount Price: $262
- vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Johnson Memorial Hospital is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $262. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.26x the Medicare baseline. Located in 201 Chestnut Hill Road, Stafford Springs, CT.
Cash / Self-Pay
$262
Average discount available for prompt cash payment at this facility.
Insurance Median
$112
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: $262 (295%)
Insurance Median: $112 (126%)
Cash: $262 (295% of Medicare)
Ins. Median: $112 (126% 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.
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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 |
|---|---|---|
| Aetna | $72 - $102 | 81% |
| Blue Cross Blue Shield | $79 - $102 | 89% |
| 1199 National Benefit Fund | $90 | 101% |
| Allied Benefit Systems | $90 | 101% |
| Gravie Admin Services | $90 | 101% |
| Hap | $90 | 101% |
| Luminare Health | $90 | 101% |
| Meritain | $90 | 101% |
| Nippon Life Ins | $90 | 101% |
| Webtpa | $90 | 101% |
| Connecticut Dept Of Correction | $96 | 108% |
| Bcn Domestic | $102 | 115% |
| Blue Benefit Administrators Of Massachusetts | $102 | 115% |
| Blue Care Network | $102 | 115% |
| Blue Distinction Transplant | $102 | 115% |
| Blue Shield - Ca | $102 | 115% |
| Blue Shield - Id (Regence) | $102 | 115% |
| Blue Shield - Ny Highmark Northeastern | $102 | 115% |
| Blue Shield - Ny Highmark Western | $102 | 115% |
| Blue Shield - Pa (Highmark) | $102 | 115% |
| Blue Shield - Wa (Regence) | $102 | 115% |
| Health Choices | $102 | 115% |
| Kaiser Domestic | $102 | 115% |
| Medicare (plans) | $102 - $107 | 115% |
| Pre-Employment | $102 | 115% |
| Unicare | $102 | 115% |
| UnitedHealthcare | $102 - $571 | 115% |
| Wc Domestic | $102 | 115% |
| Wellpoint | $102 | 115% |
| Cca Senior Care Options | $104 | 117% |
| Cigna | $105 - $445 | 118% |
| Connecticare | $117 - $146 | 132% |
| Geha | $128 - $255 | 144% |
| Harvard Pilgrim Healthcare | $128 - $255 | 144% |
| Fallon Health | $136 | 153% |
| Claimdoc | $219 | 246% |
| Diversified Administrators | $219 | 246% |
| Innovative Health Plan Ii | $219 | 246% |
| Allegiance | $222 - $444 | 250% |
| Health Partners | $222 - $444 | 250% |
| Magnacare | $222 - $444 | 250% |
| Centivo | $243 | 273% |
| Health New England | $248 - $371 | 279% |
| Prime Health Services | $305 - $457 | 343% |
| Allied National Global Care | $316 - $474 | 355% |
| Asrm - Reliance Standard Life Insurance | $316 - $474 | 355% |
| Christian Care Ministry | $316 - $474 | 355% |
| Dean Health | $316 - $474 | 355% |
| Family Life Insurance Company | $316 - $474 | 355% |
| Ghc Scw | $316 - $474 | 355% |
| International Benefit Administrators | $316 - $474 | 355% |
| Lifetime Benefit Solutions | $316 - $474 | 355% |
| Manhattan Life | $316 - $474 | 355% |
| Medi Share | $316 - $474 | 355% |
| Multiplan | $316 - $474 | 355% |
| Mvp | $316 - $474 | 355% |
| Pai | $316 - $474 | 355% |
| Pan-American Life | $316 - $474 | 355% |
| Paramount Hmo | $316 - $474 | 355% |
| Phcs | $316 - $474 | 355% |
| Trinity Health Share | $316 - $474 | 355% |
| Health Smart | $324 - $485 | 364% |
| United Behavioral Health Eap | $381 - $571 | 429% |