CMS Price Transparency Data

X-ray, shoulder

Facility: Fhn Memorial Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $171
Cash Discount Price: $161
vs. Medicare Baseline: 1.92x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Fhn Memorial Hospital is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $161. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.92x the Medicare baseline. Located in 1045 West Stephenson Street, Freeport, IL.

Cash / Self-Pay

$161

Average discount available for prompt cash payment at this facility.

Insurance Median

$171

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: $161 (181%)

Insurance Median: $171 (192%)

Cash: $161 (181% of Medicare)

Ins. Median: $171 (192% 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	$9 - $326	10%
Health Alliance Mcr Adv	$9 - $93	10%
Humana	$9 - $462	10%
Quartz Mcr Adv	$9 - $93	10%
UnitedHealthcare	$9 - $456	10%
Osf Healthplans - All Plans	$16 - $585	18%
Ecoh Nihp	$18 - $368	20%
Blue Cross Blue Shield	$19 - $395	21%
Ecoh - All Other Plans	$20 - $398	22%
Nihp Employ - All Plans	$20 - $368	22%
The Alliance - All Plans	$25 - $350	28%
Meridian Health Plan - All Plans	$49 - $297	55%
Quartz - All Other Plans	$88 - $380	99%
Northern Il Hp - All Plans	$101 - $403	114%
Hfn - All Plans	$124 - $479	139%
Galaxy - All Plans	$132 - $526	148%
Health Alliance - All Other Plans	$132 - $526	148%
Interplan Health - All Plans	$132 - $526	148%
Midland Choice - All Plans	$132 - $555	148%
Multiplan Phcs - All Plans	$132 - $497	148%
Preferred Plan Ppo - All Plans	$132 - $526	148%
Wps - All Plans	$132 - $511	148%
Trustmark - All Plans	$135 - $538	152%
First Health - All Plans	$141 - $411	159%
First Choice Il - All Plans	$171 - $497	192%

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 $161.
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 Fhn Memorial Hospital 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.