CMS Price Transparency Data

X-ray, shoulder

Facility: Lutheran Hospital of Indiana

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $92
  • Cash Discount Price: $87
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Lutheran Hospital of Indiana is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $87. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.03x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$87

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: $87 (98%)
Insurance Median: $92 (103%)
Cash: $87 (98% 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
Physicians Health Plan Of Northern Indiana $6 - $398 7%
Ky Work Comp $7 - $254 8%
Amish Aid $8 - $302 9%
Cigna $8 - $366 9%
Lutheran Preferred Network $8 - $605 9%
Self Pay $8 - $363 9%
Php Freedom Network $9 - $109 10%
Aetna $10 - $480 11%
Blue Cross Blue Shield $10 - $378 11%
Sagamore $12 - $545 13%
Encore Ppo $13 - $493 15%
Multiplan $19 - $837 21%
Prime Health Services $20 - $756 22%
Encore Health Network $21 - $907 24%
Advantage Health Solutions $22 - $837 25%
Allied Benefit Systems $23 - $907 26%
Evolutions $23 - $907 26%
UnitedHealthcare $23 - $497 26%
Veterans Eval Services $26 - $81 29%
Spreemo $28 31%
One Call Care Diagnostics $33 37%
Care Source $58 65%
Humana $58 - $91 65%
Managed Health Services $58 - $184 65%
Medicaid / KanCare $58 65%
Tricare $87 98%
Iu Health Plan $91 102%
Medicare (plans) $91 102%
Department Of Veterans Affairs $92 103%
Node Devoted Health Mcr Adv $92 103%
Node Hospice Non Par Agree $92 103%
Node Va $92 103%
In Dept Of Correction $96 108%
Node Pphp Mcr Adv $97 109%
Us Department Of Labor $115 129%
Lutheran Advanced Network $138 155%
Node Lutheran Network $138 - $161 155%
Node Lutheran Preferred Fixed 2 $138 155%
Align Network $147 165%
Encore Work Comp In $166 187%
Lutheran Network $184 - $225 207%
Lutheran Preferred $214 241%
Node Encore Kba Epo $221 249%
Node Encore Kba Ppo $276 310%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals