CMS Price Transparency Data

X-ray, shoulder

Facility: Henry Ford Health Warren Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $86
  • Cash Discount Price: $234
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Henry Ford Health Warren Hospital is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $234. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.97x the Medicare baseline. Located in 11800 East Twelve Mile Road, Warren, MI.
Cash / Self-Pay
$234

Average discount available for prompt cash payment at this facility.

Insurance Median
$86

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: $234 (263%)
Insurance Median: $86 (97%)
Cash: $234 (263% of Medicare)
Ins. Median: $86 (97% 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
Ahlic $20 22%
Hap Hmo $20 22%
Hap Preferred $20 22%
Priority Hmo $23 26%
Meridian Health Plan $32 36%
Phcs Pos $38 43%
Phcs Ppo $38 43%
Ppom $47 53%
Medicare (plans) $82 - $91 92%
Amerihealth Vip Care $85 96%
Aetna $86 97%
Harbor Advantage Hmo $86 97%
Tricare $86 97%
Veterans Choice $86 97%
Humana $87 98%
Total Health Care $87 98%
Meridian Wellcare $91 102%
Molina Advantage $91 102%
Molina Health Link $91 102%
Ambetter / Centene $108 121%
Molina Market Place $108 121%
Smarthealth $121 136%
Aaa-Auto Insurance $164 184%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11800 East Twelve Mile Road, Warren, MI 48093
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals