CMS Price Transparency Data

X-ray, shoulder

Facility: Perry County Memorial Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $305
Cash Discount Price: $355
vs. Medicare Baseline: 3.43x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Perry County Memorial Hospital is $305. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $355. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.43x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$355

Average discount available for prompt cash payment at this facility.

Insurance Median

$305

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: $355 (399%)

Insurance Median: $305 (343%)

Cash: $355 (399% of Medicare)

Ins. Median: $305 (343% 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 343% of the Medicare baseline (a markup of 243%). 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
Medicaid / KanCare	$58 - $609	65%
Veterans Administration	$101 - $609	114%
Bc 130	$105 - $487	118%
Group Insurance	$105 - $609	118%
Medicare (plans)	$105 - $158	118%
Workers Compensation	$202 - $304	227%
Nsa	$238 - $376	268%
Guarantor Liable	$284 - $609	319%
Pcmh Insurnace	$316 - $609	355%
Secondary Insurance	$324 - $487	364%
UnitedHealthcare	$324 - $487	364%
Operating Engineers	$344 - $518	387%
Boilermakers Healthcare	$352 - $530	396%
Cigna	$352 - $530	396%
Great West	$352 - $609	396%
Sagxxxx	$352 - $530	396%
Champus	$405 - $609	456%
Ngs American, Inc	$405 - $609	456%
Patoka Valley	$405 - $609	456%
Southwire	$405 - $609	456%
Tricare	$405 - $609	456%
Wausau Benefits	$405 - $609	456%

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 $355.
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 Perry County Memorial 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.