CMS Price Transparency Data

X-ray, shoulder

Facility: Cass County Memorial Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $93
  • Cash Discount Price: $153
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Cass County Memorial Hospital is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $153. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.05x the Medicare baseline. Located in 1501 East Tenth Street, Atlantic, IA.
Cash / Self-Pay
$153

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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: $153 (172%)
Insurance Median: $93 (105%)
Cash: $153 (172% of Medicare)
Ins. Median: $93 (105% 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
Midlands Choice Medica Mcr $44 49%
Triwest - All Plans $89 100%
Aetna $92 - $207 103%
Amerigroup Mcr Adv - All Other Plans $92 103%
Medica Mcr Adv $92 103%
Tricare $92 103%
UnitedHealthcare $92 - $108 103%
Va Ccn - All Plans $92 103%
Wellmark Mcr Adv $92 103%
Iowa Total Care Mcaid $93 105%
Iowa Total Care Mcr $93 105%
Molina Mcaid - All Plans $93 105%
American Hlth Mcr Adv - All Plans $94 106%
Medicaid / KanCare $94 106%
Iowa Total Care Comm - All Other Plans $101 114%
Wellmark Hmo $109 123%
Wellmark Ppo - All Other Plans $120 135%
Midlands Choice New Bus $142 160%
Medica Comm - All Other Plans $192 216%
Midlands Choice Pho (Ppo) - All Other Plans $196 220%
Multiplan - All Plans $207 233%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1501 East Tenth Street, Atlantic, IA 50022
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals