CMS Price Transparency Data

X-ray, shoulder

Facility: Mercy Regional Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $437
Cash Discount Price: $151
vs. Medicare Baseline: 4.92x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Mercy Regional Medical Center is $437. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.92x the Medicare baseline. Located in 800 E Main, Ville Platte, LA.

Cash / Self-Pay

$151

Average discount available for prompt cash payment at this facility.

Insurance Median

$437

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: $151 (170%)

Insurance Median: $437 (492%)

Cash: $151 (170% of Medicare)

Ins. Median: $437 (492% 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 492% of the Medicare baseline (a markup of 392%). 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
Aetna	$53 - $69	60%
Mcd Hmo Amerigroup	$53 - $69	60%
Mcd Hmo La Care	$53 - $69	60%
Mcd Hmo La Hlth Cr Connct	$53 - $69	60%
Medicaid / KanCare	$53 - $572	60%
UnitedHealthcare	$53 - $70	60%
Mcd Hmo Com Hlth Solution	$58 - $76	65%
Charity/Map	$131 - $572	147%
Blue Cross Blue Shield	$154	173%
Pp0/Manged Care	$218 - $572	245%
Ppo/Manged Care	$218 - $572	245%
American Postal Workers	$349 - $458	393%
Work Comp	$393 - $515	442%
Commerical	$436 - $572	490%
Commerical Ip	$436 - $572	490%
Mcr American Hlth Adv	$436 - $572	490%
Medicare (plans)	$436 - $572	490%
Mra Auto/Liability	$436 - $572	490%
Tricare	$436 - $572	490%

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 $151.
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 Mercy Regional Medical Center 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.