CMS Price Transparency Data

X-ray, shoulder

Facility: Daviess Community Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $102
Cash Discount Price: $156
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Daviess Community Hospital is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $156. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.15x the Medicare baseline. Located in 1314 E Walnut St, Washington, IN.

Cash / Self-Pay

$156

Average discount available for prompt cash payment at this facility.

Insurance Median

$102

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: $156 (175%)

Insurance Median: $102 (115%)

Cash: $156 (175% of Medicare)

Ins. Median: $102 (115% 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
Aetna	$9 - $422	10%
Blue Cross Blue Shield	$9 - $336	10%
Encore Ppo-All Plans	$9 - $200	10%
Humana	$9 - $122	10%
UnitedHealthcare	$9 - $355	10%
St. Vincent Health - All Plans	$10 - $275	11%
Patoka Valley-All Plans	$11 - $211	12%
Caresource Mcaid-All Plans	$15 - $22	17%
Hoosier Healthwise Mcaid-All Plans	$15 - $22	17%
Mdwise Marketplace-All Plans	$17 - $173	19%
Siho-All Plans	$20 - $380	22%
Sagamore Valley-All Plans	$22 - $410	25%

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 $156.
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 Daviess Community 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.