CMS Price Transparency Data

X-ray, shoulder

Facility: Morris Hospital & Healthcare Centers

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $383
Cash Discount Price: $111
vs. Medicare Baseline: 4.31x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Morris Hospital & Healthcare Centers is $383. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.31x the Medicare baseline. Located in 150 W High St, Morris, IL.

Cash / Self-Pay

$111

Average discount available for prompt cash payment at this facility.

Insurance Median

$383

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: $111 (125%)

Insurance Median: $383 (431%)

Cash: $111 (125% of Medicare)

Ins. Median: $383 (431% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 431% of the Medicare baseline (a markup of 331%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
UnitedHealthcare	$7 - $1,013	8%
Aetna	$8 - $808	9%
Choicecare Hum Mcr Ppo	$9 - $93	10%
Choicecare Hum Othr - All Other Plans	$9 - $1,053	10%
Health Alliance Mcr Adv	$9 - $96	10%
Cigna	$10 - $987	11%
Caterpillar - All Plans	$11 - $592	12%
Capp Care Ppo-Oth	$12 - $632	13%
Ambetter / Centene	$13 - $921	15%
Multiplan Prime Ntwrk	$13 - $1,053	15%
Health Alliance - All Other Plans	$14 - $1,119	16%
Multiplan - All Other Plans	$14 - $1,053	16%
Blue Cross Blue Shield	$19 - $632	21%
Hfn All Plans - All Plans	$20 - $1,119	22%

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 $111.
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 Morris Hospital & Healthcare Centers 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.