CMS Price Transparency Data

X-ray, shoulder

Facility: Cameron Memorial Community Hospital Inc

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $283
Cash Discount Price: $312
vs. Medicare Baseline: 3.18x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Cameron Memorial Community Hospital Inc is $283. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $312. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.18x the Medicare baseline. Located in 416 E Maumee St, Angola, IN.

Cash / Self-Pay

$312

Average discount available for prompt cash payment at this facility.

Insurance Median

$283

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: $312 (351%)

Insurance Median: $283 (318%)

Cash: $312 (351% of Medicare)

Ins. Median: $283 (318% 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 318% of the Medicare baseline (a markup of 218%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$15 - $487	17%
Caresource Indiana Of In	$15 - $287	17%
Managed Health Services	$15 - $32	17%
Mdwise	$15 - $32	17%
UnitedHealthcare	$18 - $614	20%
Aetna	$23 - $674	26%
Cigna	$23 - $673	26%
Corvel	$23 - $725	26%
Encore	$23 - $718	26%
Humana	$23 - $673	26%
Phcs	$23 - $585	26%
Plain Church Group Ministry	$23 - $304	26%
Sagamore Health Network	$23 - $602	26%
Coventry	$27 - $686	30%
Lucent	$32 - $424	36%
Centivo	$35 - $424	39%
Signature Care	$37 - $686	42%
Frontpath	$41 - $717	46%
Php	$41 - $591	46%
Three Rivers Preferred	$47 - $4,700	53%
Lutheran Preferred	$50 - $702	56%

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 $312.
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 Cameron Memorial Community Hospital Inc 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.