CMS Price Transparency Data

X-ray, shoulder

Facility: Henry Ford Macomb Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $11
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.12x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Henry Ford Macomb Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.12x the Medicare baseline. Located in 15855 Nineteen Mile Rd, Clinton Township, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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%)
Insurance Median: $11 (12%)
Ins. Median: $11 (12% 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 - $156 7%
Amerihealth Michigan $6 - $9 7%
Mclaren Health Plan Inc. $6 - $9 7%
Meridian $6 - $9 7%
Molina $6 - $116 7%
Priority $6 - $9 7%
Hap $8 - $129 9%
Humana $8 - $88 9%
Pace Se Mi $8 9%
Bcn $9 - $86 10%
Blue Cross Blue Shield $9 - $86 10%
Cca Health Mi $9 10%
Health Alliance Plan Of Michigan $9 10%
Mount Carmel Health Plan $9 - $86 10%
United Behavioral Health, Inc. $9 10%
UnitedHealthcare $9 - $125 10%
Wellcare Ma $9 10%
Vitalcore Physicians Group Of Mi $12 - $198 13%
Mclaren $13 15%
Meridian Health Plan Of Mi $13 - $116 15%
Priority Health $13 - $134 15%
Cigna $14 - $200 16%
Wellcare $25 - $64 28%
Cofinity Group Health $73 - $184 82%
Molina Mi Health Link $75 - $86 84%
Pace Of Se Mi $82 92%
Cca Health Michigan $86 97%
Hap Caresource $86 97%
Mclaren Health $86 - $131 97%
Multiplan, Inc. $131 - $164 147%
University Of Michigan $159 - $199 179%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15855 Nineteen Mile Rd, Clinton Township, MI 48038
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals