CMS Price Transparency Data

X-ray, shoulder

Facility: Falmouth Hospital

Billing Code: 73030 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$114
about 1.3× the $89 Medicare rate · typically $96–$129
modeled estimate · not a bill or quote
What this hospital charges insurers
$112
About the fair price
about $2 under the fair price · 1.3× Medicare
Medicare pays $89 Fair price $114 This hospital $112 Cash price $233 Hospital's list price $548

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Highest price of the 9 MA hospitals we have prices for — worth calling around.

Cheapest $35 Priciest $112

Black dot = this hospital, among the 9 MA hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, shoulder is about $114 (about 1.3× the $89 Medicare rate). Falmouth Hospital charges insurers about $112, or about $233 in cash — about the fair price. Located in Falmouth, MA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $53 - $105 60%
Blue Cross Blue Shieldmajor $56 - $178 63%
Harvard Pilgrim $68 - $137 76%
UniCare $870 979%
WellSense $136 - $272 153%
+ 4 smaller / regional plans $52 - $251

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 67 & 100 Ter Heun Drive, Falmouth, MA 02540
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals