CMS Price Transparency Data

X-ray, shoulder

Facility: Hendricks Regional Health

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $476
Cash Discount Price: $284
vs. Medicare Baseline: 5.35x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Hendricks Regional Health is $476. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $284. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.35x the Medicare baseline. Located in 1000 E Main St, Danville, IN.

Cash / Self-Pay

$284

Average discount available for prompt cash payment at this facility.

Insurance Median

$476

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: $284 (319%)

Insurance Median: $476 (535%)

Cash: $284 (319% of Medicare)

Ins. Median: $476 (535% 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 535% of the Medicare baseline (a markup of 435%). 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
Blue Cross Blue Shield	$16 - $456	18%
Humana	$92 - $587	103%
Va Ccn	$92	103%
Caresource Exchange	$94	106%
Medicare (plans)	$94 - $97	106%
Aetna	$95 - $667	107%
Ambetter / Centene	$184	207%
UnitedHealthcare	$426 - $506	479%
Encore Encircle Network	$497	559%
Sagamore Health Incumbent Program	$513	577%
Cigna	$525	590%
Sagamorehealth Network	$549	617%
Siho Commercial Network	$568	639%
Multiplan	$625	703%
Encore Health Network	$646	727%
Multiplan/Beech Street	$674	758%
Multiplan/ Complementary	$682	767%

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 $284.
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 Hendricks Regional Health 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.