CMS Price Transparency Data

X-ray, shoulder

Facility: Rockcastle County Hospital, Inc.

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $36
  • Cash Discount Price: $32
  • vs. Medicare Baseline: 0.40x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Rockcastle County Hospital, Inc. is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.40x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.
Cash / Self-Pay
$32

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

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: $32 (36%)
Insurance Median: $36 (40%)
Cash: $32 (36% of Medicare)
Ins. Median: $36 (40% 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
Passport Hp Hmo - All Plans $10 - $126 11%
Caresource Mcaid $23 26%
Coventry Mcaid-All Plans $23 26%
Medicaid / KanCare $23 26%
Molina Mcaid $23 26%
UnitedHealthcare $23 - $350 26%
Blue Cross Blue Shield $26 - $350 29%
Multiplan-All Plans $32 - $397 36%
Prime Health Services-All Plans $32 - $397 36%
Corvel - All Plans $34 - $420 38%
Integrated Hp-All Plans $34 - $416 38%
Center Care-All Plans $36 - $444 40%
Cigna $37 - $453 42%
Tricare $61 69%
Caresource Mcr Adv-All Other Plans $82 92%
Humana $82 - $322 92%
Molina Marketplace - All Other Plans $82 92%
Molina Mcr Adv $82 92%
Signature Mcr Adv-All Plans $82 92%
Wellcare Mcr Adv-All Other Plans $82 92%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 145 Newcomb Avenue, Mount Vernon, KY 40456
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals