CMS Price Transparency Data

X-ray, shoulder

Facility: Deaconess Illinois Crossroads

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $92
  • Cash Discount Price: $188
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Deaconess Illinois Crossroads is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $188. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.03x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$188

Average discount available for prompt cash payment at this facility.

Insurance Median
$92

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: $188 (211%)
Insurance Median: $92 (103%)
Cash: $188 (211% of Medicare)
Ins. Median: $92 (103% 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
Aetna $11 - $675 12%
Blue Cross Blue Shield $11 - $406 12%
Meridian Health Plan $11 - $92 12%
Molina Healthcare Of Illinois $11 - $93 12%
Wellcare $11 - $92 12%
UnitedHealthcare $22 - $496 25%
Humana $23 - $667 26%
Mytru Advantage $23 - $92 26%
Umwa $23 - $92 26%
Deaconess Onecare $30 - $470 34%
Alliance Coal $32 - $151 36%
Self-Pay $34 - $188 38%
Alter-Net Medical Services, Inc. $37 - $299 42%
Noncontracted $37 - $147 42%
Cigna $38 - $333 43%
Prime Health Services $73 - $641 82%
Guardian Resources, Inc. $81 - $718 91%
Healthcare'S Finest Network (Hfn) $82 - $727 92%
Medicalcontrol Network Solutions $82 - $727 92%
National Provider Network $82 - $727 92%
Three Rivers Provider Network $84 - $744 94%
Beech Street $85 - $752 96%
Care Improvement Plus $94 106%
Hope Trust $262 - $299 295%
Wexford Health Sources $385 - $598 433%
Encore Prime/Elite/Elite + $469 - $485 527%
Encore Combined $521 - $539 586%
Great West Healthcare Of Illinois $641 721%
Multiplan - Primary Network - Phcs $671 755%
Healthlink $684 - $727 769%
Coventry Healthcare $720 810%
First Health $720 810%
Multiplan - Complementary Network $730 821%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals