CMS Price Transparency Data

X-ray, shoulder

Facility: Jefferson County Health Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $79
  • Cash Discount Price: $104
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Jefferson County Health Center is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.89x the Medicare baseline. Located in 2000 S Main, Fairfield, IA.
Cash / Self-Pay
$104

Average discount available for prompt cash payment at this facility.

Insurance Median
$79

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: $104 (117%)
Insurance Median: $79 (89%)
Cash: $104 (117% of Medicare)
Ins. Median: $79 (89% 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.

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
UnitedHealthcare $28 - $236 31%
Tricare $32 - $102 36%
Amerigroup Mcr Adv $33 - $105 37%
Humana $33 - $105 37%
Iowa Total Care Comm - All Other Plans $33 - $105 37%
Iowa Total Care Mcr $33 - $105 37%
Molina Mcr Adv $33 - $105 37%
Iowa Total Care Mcaid $35 - $110 39%
Molina Mcaid/Chip $35 - $110 39%
Medicaid / KanCare $36 - $112 40%
Aetna $41 - $236 46%
Medicare (plans) $41 - $128 46%
Wellmark Hmo $59 66%
Wellmark Indemnity/Ppo - All Other Plans $65 73%
Midlands New Product $68 - $215 76%
Coventry Commercial Hmo $71 - $223 80%
Coventry Commercial Ppo - All Other Plans $75 - $236 84%
Midlands Choice-All Other Plans $75 - $236 84%
Molina Marketplace - All Other Plans $83 - $262 93%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 S Main, Fairfield, IA 52556
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals