CMS Price Transparency Data

X-ray, shoulder

Facility: Mercyone North Iowa Medical Center

Billing Code: 73030 (CPT)

No verified fair price for this procedure here

This hospital only published government or network rates for this billing code — not a standard commercial price — so we can’t show a verified fair-price comparison for it. What it charges each insurer is listed below; call the hospital’s billing office to confirm the actual charge.

modeled estimate · not a bill or quote

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$8 - $6,022	9%
Blue Cross Blue Shieldmajor	$8 - $1,192	9%
Aetnamajor	$8 - $6,022	9%
Cignamajor	$8 - $1,188	9%
Humanamajor	$8 - $1,927	9%
Kaiser Permanentemajor	$15 - $136	17%
Ambetter (Centene)	$9 - $1,188	10%
Clover Health	$8 - $32	9%
GEHA	$18 - $1,234	20%
Health Net	$9 - $6,022	10%
HealthPartners	$9 - $4,215	10%
Medica	$71 - $270	80%
Medical Mutual	$135 - $203	152%
Meridian	$8 - $1,188	9%
Molina	$9 - $1,188	10%
Oscar Health	$15 - $124	17%
Paramount	$9 - $1,188	10%
Presbyterian	$8 - $1,188	9%
Sanford Health Plan	$14 - $1,927	16%
Tufts Health Plan	$9 - $1,188	10%
UCare	$16 - $91	18%
WellMed	$8 - $32	9%
WellSense	$9 - $1,188	10%
+ 362 smaller / regional plans	$8 - $6,022

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 15 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 97), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73030.

Insurance Before you use insurance

Call your insurance company to confirm Mercyone North Iowa Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 73030.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.