CMS Price Transparency Data

X-ray, shoulder

Facility: Munson Healthcare Cadillac Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $58
  • Cash Discount Price: $78
  • vs. Medicare Baseline: 0.65x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Munson Healthcare Cadillac Hospital is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.65x the Medicare baseline. Located in 400 Hobart St, Cadillac, MI.
Cash / Self-Pay
$78

Average discount available for prompt cash payment at this facility.

Insurance Median
$58

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: $78 (88%)
Insurance Median: $58 (65%)
Cash: $78 (88% of Medicare)
Ins. Median: $58 (65% 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
Blue Cross Blue Shield $6 - $119 7%
Mclaren Health Plan $6 - $261 7%
Meridian $6 - $45 7%
Molina $6 - $94 7%
Priority Health $6 - $87 7%
UnitedHealthcare $6 - $257 7%
American Health Associates $9 - $87 10%
Autumnwood Of Mcbain Skilled Nursing $9 - $87 10%
Blue Care Network $9 - $87 10%
Hap (Health Alliance Plan) $9 - $331 10%
Humana $9 - $87 10%
Medicare (plans) $9 - $87 10%
Michigan Amish Medical Board $9 - $87 10%
Promedica $9 - $87 10%
Samaritas Senior Living Skilled Nursing $9 - $87 10%
Wellcare (Meridian) $9 - $87 10%
Aetna $12 - $315 13%
Cofinity $12 - $323 13%
Provider Network Of America Group Health $12 - $352 13%
Asr/Physicians Care $13 - $331 15%
Cigna $14 - $85 16%
Employee Benefits Logistics $15 - $147 17%
Hospice Of Michigan $50 - $248 56%
Munson Hospice $58 - $852 65%
Enterprise Group Planning/Employee Benefit Plan $66 - $331 74%
Medical Cost Savings Solution $66 - $331 74%
Nomi Health $66 - $331 74%
Robbing Group And Regency Employee Benefits $66 - $331 74%
First Health/Coventry Network $71 - $352 80%
Three Rivers Provider Network $71 - $352 80%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 Hobart St, Cadillac, MI 49601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals