CMS Price Transparency Data

X-ray, shoulder

Facility: Finley Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $45
Cash Discount Price: $72
vs. Medicare Baseline: 0.51x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Finley Hospital is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.51x the Medicare baseline. Located in 350 North Grandview Avenue, Dubuque, IA.

Cash / Self-Pay

$72

Average discount available for prompt cash payment at this facility.

Insurance Median

$45

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: $72 (81%)

Insurance Median: $45 (51%)

Cash: $72 (81% of Medicare)

Ins. Median: $45 (51% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$8 - $203	9%
Blue Cross Blue Shield	$8 - $86	9%
Molina	$8 - $86	9%
Amerivantage	$9 - $89	10%
Humana	$9 - $89	10%
Meridian	$9 - $98	10%
UnitedHealthcare	$9 - $186	10%
Medical Associates Health Plan	$12 - $64	13%
Wellmark Uph Self-Funded	$15 - $59	17%
Cigna	$18 - $147	20%
Bc Illinois Community	$19 - $148	21%
Health Partners Open Network	$19 - $161	21%
Dean Health Plan	$29 - $223	33%
Amerigroup	$77	87%
Iowa Total Care	$77	87%
Medica Exchange Inspire	$102	115%
Medica Exchange Insure	$115	129%
Quartz Health	$223	251%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $72.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73030.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Finley Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73030.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.