CMS Price Transparency Data

X-ray, shoulder

Facility: Covenant Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $80
Cash Discount Price: $256
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Covenant Medical Center is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $256. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.90x the Medicare baseline. Located in 1447 N Harrison, Saginaw, MI.

Cash / Self-Pay

$256

Average discount available for prompt cash payment at this facility.

Insurance Median

$80

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: $256 (288%)

Insurance Median: $80 (90%)

Cash: $256 (288% of Medicare)

Ins. Median: $80 (90% 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.

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
Health Advantage Mclaren Employee	$7 - $369	8%
Priority Health E	$7 - $309	8%
Mclaren Health Advantage	$8 - $302	9%
Physicians Health Plan	$8 - $369	9%
Priority Health	$8 - $369	9%
Aetna	$9 - $493	10%
Blue Cross Blue Shield	$9 - $55	10%
Health Alliance Plan Of Michigan	$9 - $172	10%
Healthy Michigan Mclaren	$9 - $46	10%
Healthy Michigan Meridian	$9 - $46	10%
Healthy Michigan Molina	$9 - $46	10%
Healthy Michigan Priority Health	$9 - $46	10%
Humana	$9 - $503	10%
Mclaren Advantage	$9 - $89	10%
Molina Healthplan	$9 - $89	10%
Physicians Health Plan Advantage/Advantage Plus	$9 - $89	10%
Meritain Health	$11 - $513	12%
Blue Care Network	$14 - $89	16%
Multiplan	$14 - $604	16%
Cigna	$191 - $369	215%

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 $256.
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 Covenant 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.