CMS Price Transparency Data

X-ray, shoulder

Facility: Manning Regional Healthcare Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $172
Cash Discount Price: $164
vs. Medicare Baseline: 1.93x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Manning Regional Healthcare Center is $172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.93x the Medicare baseline. Located in 1550 Sixth Street, Manning, IA.

Cash / Self-Pay

$164

Average discount available for prompt cash payment at this facility.

Insurance Median

$172

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: $164 (184%)

Insurance Median: $172 (193%)

Cash: $164 (184% of Medicare)

Ins. Median: $172 (193% 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
Wellmark Hmo	$73	82%
Wellmark Ppo-All Other Plans	$81	91%
Medical Associates Mcr	$162	182%
Medicare (plans)	$162	182%
Merigold Mcr Adv-All Plans	$162	182%
Tricare	$162	182%
UnitedHealthcare	$162 - $224	182%
Iowa Total Care Mcaid-All Plans	$172	193%
Medical Associates Comm-All Other Plans	$173	195%
Preferred Health - All Plans	$173	195%
Medicaid / KanCare	$174	196%
Aetna	$226	254%
Midlands Choice- All Plans	$226	254%
Oscar Epo-All Plans	$243	273%

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 $164.
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 Manning Regional Healthcare Center 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.