CMS Price Transparency Data

X-ray, shoulder

Facility: Deaconess Henderson Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $56
  • Cash Discount Price: $129
  • vs. Medicare Baseline: 0.63x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Deaconess Henderson Hospital is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $129. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.63x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$129

Average discount available for prompt cash payment at this facility.

Insurance Median
$56

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: $129 (145%)
Insurance Median: $56 (63%)
Cash: $129 (145% of Medicare)
Ins. Median: $56 (63% 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
Blue Cross Blue Shield $11 - $245 12%
Wellcare Il $11 - $80 12%
Aetna $15 - $417 17%
Medicaid / KanCare $15 - $86 17%
UnitedHealthcare $15 - $86 17%
Wellcare Ky $15 - $96 17%
Humana $16 - $344 18%
Medicare (plans) $22 - $80 25%
Mhs Mco $22 - $80 25%
Molina Healthcare Of Ky $22 - $80 25%
Molina Healthcare Of Ky - Exchange $22 - $80 25%
Mytru Advantage $22 - $80 25%
Umwa $22 - $80 25%
Caresource In $23 - $32 26%
Center Care Narrow $23 - $245 26%
Center Care Open Access $23 - $267 26%
Caresource In Marketplace $28 - $120 31%
Wellcare Ky Commercial Exchange $28 - $164 31%
Alliance Coal $30 - $120 34%
Ky Racing Health & Welfare Fund $34 - $125 38%
Self-Pay $34 - $129 38%
Noncontracted $35 - $128 39%
Encircle/Encore Combined $37 - $249 42%
Encircle/Encore Prime $37 - $232 42%
First Health Network (Coventry) $41 - $366 46%
Healthlink $41 - $322 46%
Iu Health Plans $41 - $220 46%
Phcs/Multiplan $41 - $387 46%
Sagamore $41 - $378 46%
Cigna $58 - $275 65%
Claimdoc $58 - $258 65%
Hopetrust $58 - $192 65%
Hstechnology $58 - $192 65%
Amish And Mennonite Of Western Ky $63 - $120 71%
Coventry National Network $78 - $344 88%
Webster County Detention Center $78 - $344 88%
Henderson County Detention Center $87 - $387 98%
One Care $176 198%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals