CMS Price Transparency Data

X-ray, shoulder

Facility: Pulaski Memorial Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $126
  • Cash Discount Price: $161
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Pulaski Memorial Hospital is $126. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $161. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.42x the Medicare baseline. Located in 616 E 13Th St, Winamac, IN.
Cash / Self-Pay
$161

Average discount available for prompt cash payment at this facility.

Insurance Median
$126

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: $161 (181%)
Insurance Median: $126 (142%)
Cash: $161 (181% of Medicare)
Ins. Median: $126 (142% 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
Mdwise Mcaid Hcc $8 - $15 9%
Mdwise Mcaid Hhw $8 - $15 9%
Mdwise Mcaid Hip - All Other Plans $8 - $250 9%
UnitedHealthcare $8 - $638 9%
Ambetter / Centene $9 - $250 10%
Blue Cross Blue Shield $9 - $537 10%
Caresource Mcaid Hip $9 - $250 10%
Caresource Mcare Hmo $9 - $250 10%
Cenpatico Mcaid Hip $9 - $250 10%
Humana $9 - $649 10%
Mhs Mcaid Hip $9 - $250 10%
Mhs Mcare Allwell $9 - $253 10%
Multiplan - All Plans $9 - $727 10%
Caresource Exch Hmo Hix - All Other Plans $11 - $313 12%
Encore Ppo - All Other Plans $13 - $686 15%
Cigna $14 - $767 16%
Sagamore - All Other Plans $14 - $611 16%
Sagamore Rose Acre $14 - $602 16%
Caresource Mcaid Hhw $15 - $31 17%
Cenpatico Mcaid Hhw - All Other Plans $15 - $31 17%
Mhs Mcaid Hhw/Hcc $15 - $31 17%
Community Health Alliance - All Plans $17 - $719 19%
Encore Workers Comp $24 - $727 27%
Aetna $146 - $291 164%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 616 E 13Th St, Winamac, IN 46996
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals