CMS Price Transparency Data

X-ray, shoulder

Facility: Jersey Community Hospital

Billing Code: 73030 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$126
about 1.4× the $89 Medicare rate · typically $68–$192
modeled estimate · not a bill or quote
Medicare pays $89 Fair price $126 Cash price $260 Hospital's list price $260

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $265 298%
Blue Cross Blue Shieldmajor $319 - $394 359%
Cignamajor $419 471%
Humanamajor $370 416%
+ 1 smaller / regional plan $320
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 400 Maple Summit Road, Jerseyville, IL 62052
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals