CMS Price Transparency Data

X-ray, shoulder

Facility: St Vincent Hospital

Billing Code: 73030 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$100
about 1.1× the $89 Medicare rate · typically $44–$120
modeled estimate · not a bill or quote
What this hospital charges insurers
$35
Below the fair price — a good deal
about $65 under the fair price · 0.4× Medicare
Medicare pays $89 Fair price $100 This hospital $35 Cash price $1,232 Hospital's list price $1,642

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Lowest price of the 9 MA hospitals we have prices for — a strong deal.

Cheapest $35 Priciest $86

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a X-ray, shoulder is about $100 (about 1.1× the $89 Medicare rate). St Vincent Hospital charges insurers about $35, or about $1,232 in cash — below the fair price — a good deal. Located in Worcester, 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✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser 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 $81 91%
Aetnamajor $90 101%
Health Net $35 39%
+ 1 smaller / regional plan $35
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 123 Summer Street, Worcester, MA 01608
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals