CMS Price Transparency Data

X-ray, shoulder

Facility: University of Michigan Health System

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $29
  • Cash Discount Price: $156
  • vs. Medicare Baseline: 0.33x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at University of Michigan Health System is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $156. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.33x the Medicare baseline. Located in 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI.
Cash / Self-Pay
$156

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $156 (175%)
Insurance Median: $29 (33%)
Cash: $156 (175% of Medicare)
Ins. Median: $29 (33% 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
Aetna $6 - $286 7%
Ambetter / Centene $6 - $22 7%
Amerihealth Michigan Inc $6 - $23 7%
Blue Cross Blue Shield $6 - $205 7%
Buckeye Community Health Plan $6 - $22 7%
Hap Midwest $6 - $22 7%
Mclaren Health Plan Inc $6 - $273 7%
Medicaid / KanCare $6 - $217 7%
Molina Healthcare Of Michigan Inc $6 - $29 7%
Priority Health $6 - $434 7%
UnitedHealthcare $6 - $317 7%
Huron Valley Pace $7 - $27 8%
Blue Care Network Of Michigan $8 - $205 9%
Health Alliance Plan $8 - $29 9%
Humana $8 - $29 9%
Medicare (plans) $8 - $29 9%
Medigold Trinity Health Plan Of Michigan $8 - $29 9%
Meridian Health Plan Of Michigan Inc $8 - $29 9%
Paramount Elite-Ohio $8 - $29 9%
Paramount Health Care $8 - $360 9%
Thome Pace $8 - $29 9%
Triwest $8 - $29 9%
Veteran Affairs Community Care Program $8 - $29 9%
Zing Health $8 - $30 9%
Employee Benefit Logistic $13 - $49 15%
Point Comfort Underwriters Unaccompanied Children Program $18 - $187 20%
Metrocare $20 - $204 22%
Priority Health [1038] $20 - $291 22%
Hap [1023] $24 - $326 27%
Plain Church Group $26 - $260 29%
Cofinity $28 - $298 31%
Confinity Advantage $28 - $286 31%
First Health $28 - $332 31%
Beaumont Health Network $30 - $304 34%
Nomi Health $30 - $304 34%
Provider Network Of America $30 - $304 34%
First Agency $32 - $326 36%
Parkview Health Plan Services $32 - $326 36%
Bronson Healthcare Group $37 - $369 42%
Multiplan $37 - $369 42%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI 48109
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals