CMS Price Transparency Data

X-ray, shoulder

Facility: Harrison County Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $119
Cash Discount Price: $339
vs. Medicare Baseline: 1.34x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Harrison County Hospital is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $339. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.34x the Medicare baseline. Located in 245 Atwood Street, Corydon, IN.

Cash / Self-Pay

$339

Average discount available for prompt cash payment at this facility.

Insurance Median

$119

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: $339 (381%)

Insurance Median: $119 (134%)

Cash: $339 (381% of Medicare)

Ins. Median: $119 (134% 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	$15 - $424	17%
Blue Cross Blue Shield	$15 - $306	17%
Caresource Mcaid Hhw	$15	17%
Mdwise Mcaid Hhw/Hcc - All Other Plans	$15	17%
Mhs Mcaid Hhw/Hcc	$15	17%
UnitedHealthcare	$15 - $406	17%
Tricare	$109	123%
Caresource Mcaid Hip	$119	134%
Caresource Mcr Adv	$119	134%
Humana	$119 - $377	134%
Mdwise Mcaid Hip	$119	134%
Mhs Exchange-All Other Plans	$119	134%
Mhs Mcaid Hip	$119	134%
Passport Mcaid-All Other Plans	$119	134%
Passport Mcr Adv	$119	134%
Mhs Mcr Adv	$120	135%
Communicare Adv-All Plans	$121	136%
Siho Exchange	$122	137%
Passport Mcaid Beh Hlth	$141	159%
Caresource Exchange-All Other Plans	$154	173%
Buckeye Exchange-All Plans	$196	220%
Siho One Southern	$282	317%
Encore Encircle	$452	508%
Sagamore-All Plans	$452	508%
Siho Ppo/Hmo - All Other Plans	$452	508%
Beech Street Comm-All Plans	$480	540%
First Health-All Plans	$480	540%
Cigna	$508	571%
Encore Ppo - All Other Plans	$508	571%
Multiplan-All Plans	$508	571%

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 $339.
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 Harrison County 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.