CMS Price Transparency Data

X-ray, shoulder

Facility: The Women's Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $37
  • Cash Discount Price: $276
  • vs. Medicare Baseline: 0.42x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at The Women's Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $276. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.42x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$276

Average discount available for prompt cash payment at this facility.

Insurance Median
$37

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: $276 (310%)
Insurance Median: $37 (42%)
Cash: $276 (310% of Medicare)
Ins. Median: $37 (42% 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
Chamber Care $8 - $327 9%
Immergrun $10 - $196 11%
Aetna $11 - $312 12%
Blue Cross Blue Shield $11 - $297 12%
Meridian Health Il $11 - $81 12%
Molina Il $11 - $81 12%
Encorecombined $13 - $327 15%
Encoreprime $13 - $318 15%
Caresource Hip $15 - $32 17%
Caresource In $15 - $32 17%
Humana $15 - $108 17%
Mdwise Hip $15 - $32 17%
Mhs Behavioral $15 - $32 17%
Passport Molina Ky $15 - $108 17%
UnitedHealthcare $15 - $374 17%
Wellcare Ky $15 - $108 17%
Caresource $23 - $81 26%
Iu Health $23 - $234 26%
Mhs $23 - $81 26%
Molina Ky $23 - $81 26%
Molina Ky Dual $23 - $81 26%
Patoka Valley Health Care (80/20 Plan) $23 - $290 26%
Patoka Valley Health Care (90/10 Plan) $23 - $281 26%
Ambetter / Centene $26 - $126 29%
Caresource Marketplace (Just4Me) $30 - $122 34%
One Care $30 - $327 34%
Alliance Coal $31 - $324 35%
Hst $31 - $122 35%
Allied National/Zelis - Freedom Plan $32 - $198 36%
Amish $32 - $56 36%
Claimdoc $33 - $117 37%
Self Pay $34 - $276 38%
Hope Trust $37 - $134 42%
Noncontracted $37 - $130 42%
Cigna $41 - $337 46%
Claritev (Formerly Phcs/Mulitplan) $41 - $323 46%
First Health/Coventry $41 - $346 46%
Healthlink $41 - $398 46%
Sagamore $41 - $337 46%
Center Care $58 - $365 65%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals