CMS Price Transparency Data

X-ray, shoulder

Facility: Hancock Regional Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $441
  • Cash Discount Price: $441
  • vs. Medicare Baseline: 4.96x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Hancock Regional Hospital is $441. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $441. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.96x the Medicare baseline. Located in 801 N State St, Greenfield, IN.
Cash / Self-Pay
$441

Average discount available for prompt cash payment at this facility.

Insurance Median
$441

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: $441 (496%)
Insurance Median: $441 (496%)
Cash: $441 (496% of Medicare)
Ins. Median: $441 (496% 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 496% of the Medicare baseline (a markup of 396%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $15 - $411 17%
Mhs/Mdwise Mcaid-All Plans $15 17%
UnitedHealthcare $15 - $427 17%
Iu Health Mcr Adv $92 103%
Triwest - All Plans $92 103%
Va Ccn - All Plans $92 103%
Caresource Mcr Adv $94 106%
Beech Street Mcr Adv $95 107%
Humana $95 - $523 107%
Allwell Mcr Adv - All Plans $97 109%
Communicare Mcr Adv - All Plans $97 109%
Ambetter / Centene $184 207%
Caresource Comm - All Other Plans $230 259%
Iu Health-All Other Plans $253 285%
Ascension - All Plans $413 465%
Aetna $419 - $551 471%
Cigna $441 496%
Encore Encircle $441 496%
Hancock Phys Network-All Plans $441 496%
Unified Group Services- All Plans $441 496%
Advantage Self Funded Ppo-All Other Plans $452 508%
Healthmark/Healthchoice-All Plans $452 508%
Sagamore-All Plans $452 508%
Encore-All Other Plans $468 526%
Consumers Life-All Plans $485 545%
St Vincent Cmo-All Plans $485 545%
Siho-All Plans $496 558%
Great West-All Plans $507 570%
Savility - All Plans $507 570%
Cofinity/Ppom - All Plans $512 576%
First Health/Coventry-All Plans $518 583%
Mail Handlers-All Plans $518 583%
Golden Rule Ins-All Plans $523 588%
Indiana Health Network-All Plans $523 588%
Phcs-All Plans $523 588%
Beech Street Ppo - All Other Plans $529 595%
Comm Hlth Alliance - All Plans $534 601%
Multiplan-All Plans $540 607%
Advantage Preferred Plus $551 620%
Healthy Indiana Plan-All Plans $551 620%
Copps - All Plans $1,135 1277%
Pro Health - All Plans $1,653 1859%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 N State St, Greenfield, IN 46140
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals