CMS Price Transparency Data

X-ray, shoulder

Facility: Winn Parish Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $400
  • Cash Discount Price: $120
  • vs. Medicare Baseline: 4.50x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Winn Parish Medical Center is $400. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.50x the Medicare baseline. Located in 301 W Boundary Ave, Winnfield, LA.
Cash / Self-Pay
$120

Average discount available for prompt cash payment at this facility.

Insurance Median
$400

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: $120 (135%)
Insurance Median: $400 (450%)
Cash: $120 (135% of Medicare)
Ins. Median: $400 (450% 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 450% of the Medicare baseline (a markup of 350%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $38 - $400 43%
Self Pay $120 135%
Medicaid / KanCare $127 - $139 143%
UnitedHealthcare $127 143%
Wellcare $127 143%
Blue Cross Blue Shield $143 161%
Medicare (plans) $143 161%
Humana $160 - $252 180%
Ima $200 225%
Multiplan Ppo $212 - $252 238%
Cigna $218 - $225 245%
Natl Assoc Of Letter Carr $218 - $400 245%
Ppoplus $240 270%
Zelis $240 270%
La Workers Comp Corp $360 405%
Workman'S Comp Op $360 405%
Aflac $400 450%
American Health Advantage $400 450%
American Retirement $400 450%
Amfirst $400 450%
Apwu Health Plan $400 450%
Attorney Claim $400 450%
Bankers Fidelity $400 450%
Commercial Miscellaneous $400 450%
Correct Care Integrated $400 450%
Fox Everett $400 450%
Gilsbar $400 450%
Guarantee Trust Life $400 450%
Heart Of Hospice $400 450%
Hospice Compassus $400 450%
Legacy Hospice $400 450%
Liberty Mutual $400 450%
Medico Insurance Company $400 450%
Meritain Health $400 450%
Miscellaneous $400 450%
Mutual Of Omaha $400 450%
New Era Life Ins $400 450%
Phcs $400 450%
Philadephia American $400 450%
Physicians Mutual $400 450%
Pipeline Ind Benefit Fund $400 450%
Rural Carrier Benefit $400 450%
Sentinel Security Life $400 450%
State Farm $400 450%
United American Ins $400 450%
United Of Omaha Life Ins $400 450%
Usaa Life Ins Co $400 450%
World Insurance Company $400 450%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 W Boundary Ave, Winnfield, LA 71483
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals