CMS Price Transparency Data

X-ray, shoulder

Facility: Cherokee Regional Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $143
Cash Discount Price: $129
vs. Medicare Baseline: 1.61x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Cherokee Regional Medical Center is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $129. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.61x the Medicare baseline. Located in 300 Sioux Valley Drive, Cherokee, IA.

Cash / Self-Pay

$129

Average discount available for prompt cash payment at this facility.

Insurance Median

$143

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: $129 (145%)

Insurance Median: $143 (161%)

Cash: $129 (145% of Medicare)

Ins. Median: $143 (161% 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	$76 - $143	85%
Blue Cross Blue Shield	$76 - $143	85%
Health Partners	$76 - $143	85%
Humana	$76 - $143	85%
UnitedHealthcare	$76 - $143	85%
Wellpoint	$76 - $143	85%
Iowa Total Care	$79 - $143	89%
Molina	$79 - $143	89%
Admin Concepts	$143	161%
American Republic	$143	161%
Apw	$143	161%
Auxiant	$143	161%
Avera	$143	161%
Bankers Life	$143	161%
Champus	$143	161%
Cigna	$143	161%
Liability	$143	161%
Meridian	$143	161%
Meritain	$143	161%
Midlands	$143	161%
Mutual Of Omaha	$143	161%
Occunet	$143	161%
Physicians Mutual	$143	161%
Private Healthcare	$143	161%
Sanford	$143	161%
United American	$143	161%

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 $129.
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 Cherokee Regional Medical 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.