CMS Price Transparency Data

X-ray, shoulder

Facility: Norton Clark Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $156
Cash Discount Price: $63
vs. Medicare Baseline: 1.75x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Norton Clark Hospital is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.75x the Medicare baseline. Located in 1220 Missouri Ave, Jeffersonville, IN.

Cash / Self-Pay

$63

Average discount available for prompt cash payment at this facility.

Insurance Median

$156

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: $63 (71%)

Insurance Median: $156 (175%)

Cash: $63 (71% of Medicare)

Ins. Median: $156 (175% 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
Blue Cross Blue Shield	$15 - $241	17%
Caresource Indiana Healthy Indiana Plan (Hip)	$15	17%
Caresource Indiana Hoosier Healthwise (Hhw)	$15	17%
Humana	$15	17%
Managed Health Services (Mhs) Hoosier Care Connect	$15	17%
Managed Health Services (Mhs) Hoosier Healthwise (Hhw)	$15	17%
UnitedHealthcare	$15 - $212	17%
Mdwise Hoosier Healthwise (Hhw)	$16	18%
Molina Healthcare Of Indiana	$16 - $95	18%
Managed Health Services (Mhs) Healthy Indiana Plan (Hip)	$92	103%
Mdwise Health Indiana Plan (Hip)	$92	103%
Aetna	$95 - $247	107%
Communicare Advantage	$95	107%
Managed Health Services (Mhs)	$97 - $134	109%
Cigna	$156 - $213	175%
Ppom	$336 - $457	378%

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 $63.
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 Norton Clark 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.