CMS Price Transparency Data

X-ray, shoulder

Facility: Trinity Rock Island

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $40
Cash Discount Price: $72
vs. Medicare Baseline: 0.45x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Trinity Rock Island is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.45x the Medicare baseline. Located in 2701 17Th St, Rock Island, IL.

Cash / Self-Pay

$72

Average discount available for prompt cash payment at this facility.

Insurance Median

$40

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: $72 (81%)

Insurance Median: $40 (45%)

Cash: $72 (81% of Medicare)

Ins. Median: $40 (45% 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	$8 - $250	9%
Ambetter / Centene	$8 - $147	9%
Blue Cross Blue Shield	$8 - $148	9%
Health Alliance	$8 - $94	9%
Amerivantage	$9 - $96	10%
Humana	$9 - $96	10%
Medicare (plans)	$9 - $94	10%
Meridian Health Plan	$9 - $96	10%
UnitedHealthcare	$9 - $231	10%
Cigna	$18 - $194	20%
Health Partners Open Network	$19 - $128	21%
Wellmark Uph Self-Funded	$19 - $148	21%
Bc Illinois Community	$60 - $86	67%
Iowa Total Care	$68	76%
Medica Exchange Inspire	$145	163%
Medica Exchange Insure	$163	183%

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 $72.
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 Trinity Rock Island 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.