CMS Price Transparency Data

X-ray, foot

Facility: Mercy Health Lakeshore Campus

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $37
  • Cash Discount Price: $213
  • vs. Medicare Baseline: 0.42x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Mercy Health Lakeshore Campus is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $213. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.42x the Medicare baseline. Located in 72 South State Street, Shelby, MI.
Cash / Self-Pay
$213

Average discount available for prompt cash payment at this facility.

Insurance Median
$37

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: $213 (240%)
Insurance Median: $37 (42%)
Cash: $213 (240% of Medicare)
Ins. Median: $37 (42% 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
Medicaid / KanCare $11 - $67 12%
Varipro $15 - $362 17%
Aetna $17 - $314 19%
Albany County Correctional Facility $17 - $22 19%
Ambetter / Centene $17 - $22 19%
Amish Mennonite $17 - $22 19%
Ascension St. Vincent Public Safety Medical $17 - $22 19%
Bccp $17 - $22 19%
Blue Cross Blue Shield $17 - $337 19%
Bmc Healthnet $17 - $22 19%
Breast Grant-Connecticut $17 - $22 19%
Broward County Dept Of Health $17 - $22 19%
California Health And Wellness $17 - $22 19%
Can Community Health Inc $17 - $22 19%
Cardinal Innovations Lme $17 - $22 19%
Care Connections Of Northern Iowa $17 - $22 19%
Care Oregon Ohp $17 - $22 19%
Cencal Health Plan $17 - $22 19%
Cenpatico $17 - $22 19%
Chhuny $17 - $22 19%
Childrens Comm Health Plan $17 - $22 19%
Childrens Medical Services Title 19 $17 - $22 19%
Cigna $17 - $342 19%
City Of Philadelphia $17 - $22 19%
Cmh Allegan County $17 - $22 19%
Cmh Ausable Valley $17 - $22 19%
Cmh Barry County $17 - $22 19%
Cmh Bay-Arenac County $17 - $22 19%
Cmh Berrien County $17 - $22 19%
Cmh Cass County $17 - $22 19%
Cmh Central Mi County $17 - $22 19%
Cmh Clinton-Eaton-Ingham County $17 - $22 19%
Cmh Detroit Wayne Integrated Health Network $17 - $22 19%
Cmh Genesee County $17 - $22 19%
Cmh Ionia County $17 - $22 19%
Cmh Jackson County/Lifeways $17 - $22 19%
Cmh Kalamazoo $17 - $22 19%
Cmh Kent County $17 - $22 19%
Cmh Lenawee County $17 - $22 19%
Cmh Livingston County $17 - $22 19%
Cmh Macomb $17 - $22 19%
Cmh Misc $17 - $22 19%
Cmh Monroe County $17 - $22 19%
Cmh Montcalm County $17 - $22 19%
Cmh Muskegon County $17 - $22 19%
Cmh Newaygo County $17 - $22 19%
Cmh North Country $17 - $22 19%
Cmh Northern Lakes County $17 - $22 19%
Cmh Oakland County $17 - $22 19%
Cmh Ottawa County $17 - $22 19%
Cmh Van Buren County $17 - $22 19%
Cmh Washtenaw County $17 - $22 19%
Cmh Wayne County/Carelink $17 - $22 19%
Cmh Wayne Cty/Com Liv Svcs $17 - $22 19%
Cmh West Mi County $17 - $22 19%
Community Benefit Health $17 - $22 19%
Community Care Behavorial Health $17 - $22 19%
Community Care Partners $17 - $22 19%
Community Health Choice $17 - $22 19%
Connections Csp $17 - $22 19%
County Coroner $17 - $22 19%
County Funding Generic $17 - $22 19%
Covid19 Hrsa Uninsured Testing And Treatment Fund $17 - $22 19%
Dean Wi Badgercare $17 - $22 19%
Delaware County Department Of Health $17 - $22 19%
Delaware First Health $17 - $22 19%
Delta Dental Nj $17 - $22 19%
Dph Tb Program $17 - $22 19%
Dscc $17 - $22 19%
Eastpointe Lme $17 - $22 19%
Family Health Network $17 - $22 19%
Freedom First Healthcare $17 - $22 19%
Fresno County Ccs $17 - $22 19%
Ghc Scw Wi Badgercare $17 - $22 19%
Harbor Health $17 - $22 19%
Health Safety Net $17 - $22 19%
Healthy Blue Ne $17 - $22 19%
Hennepin Health $17 - $22 19%
Humana $17 - $353 19%
Id County Ada $17 - $22 19%
Id County Canyon $17 - $22 19%
Id County Cat Fund $17 - $22 19%
Id County Other $17 - $22 19%
Id County Payette $17 - $22 19%
Idaho Dept Health And Wellfare $17 - $22 19%
Idaho Womens Health Check $17 - $22 19%
Indiana Breast Cervical Cancer $17 - $22 19%
Inland Empire Health Plan $17 - $22 19%
Intercommunity Health Ohp $17 - $22 19%
Iowa Total Care $17 - $22 19%
Jai Medical System $17 - $22 19%
Kern Family Health Plan $17 - $22 19%
Keystone First $17 - $22 19%
Keystone First Chip $17 - $22 19%
La Care Health Plan $17 - $22 19%
Lakeland Care Inc $17 - $22 19%
Managed Health Services - Indiana $17 - $22 19%
Maryland Breast & Cervical Program $17 - $22 19%
Maryland Healthy Smiles - Scion Dental $17 - $22 19%
Maryland Physicians Care $17 - $22 19%
Massachusetts Behavioral Health Partnership $17 - $22 19%
Mdwise $17 - $22 19%
Medi-Cal $17 - $22 19%
Medi-Cal Healthnet $17 - $22 19%
Medstar Dc Healthy Family $17 - $22 19%
Medstar Md Health Choice $17 - $22 19%
Mo Home State Health Plan $17 - $22 19%
Molina Centennial Care $17 - $22 19%
Nascentia Health Options $17 - $22 19%
Nebraska Total Care $17 - $22 19%
New York Cancer Services Program $17 - $22 19%
Nextlevel Health $17 - $22 19%
Oregon Screenwise $17 - $22 19%
Pace Of Southwest Michigan $17 - $22 19%
Paramount Advantage $17 - $22 19%
Parkland Community Health Plan $17 - $22 19%
Partners Behavioral Lme $17 - $22 19%
Peach State Healthplan $17 - $22 19%
Philadelphia County Funding $17 - $22 19%
Presbyterian Centennial Care $17 - $22 19%
Prestige Health Choice $17 - $22 19%
Priority Partners $17 - $22 19%
Robert F Sing Program $17 - $22 19%
Rx 340B Pass Along $17 - $22 19%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $17 - $22 19%
Rx Medi-Cal $17 - $22 19%
Rx Meridian Rx $17 - $22 19%
Ryan White Florida Mssrp $17 - $22 19%
Sandhills Center Lme $17 - $22 19%
Screening For Life $17 - $22 19%
St Joseph County Hlth Dpt $17 - $22 19%
Stephenson Cty Health $17 - $22 19%
Sunshine State Health Plan $17 - $22 19%
Superior Health $17 - $22 19%
Tenncare $17 - $22 19%
Texas Children'S Health Plan $17 - $22 19%
Trillium Community Ohp $17 - $22 19%
Tufts Health Public Plans $17 - $22 19%
UnitedHealthcare $17 - $355 19%
Vaya Health Lme $17 - $22 19%
Washtenaw Health Plan $17 - $22 19%
Wellsense Health Plan $17 - $22 19%
Wi Womens Wellness $17 - $22 19%
Hap $20 - $362 22%
Health Partners $20 - $27 22%
Tufts Health Plan $20 - $27 22%
Champva $23 - $30 26%
Geha $23 - $355 26%
Medicare (plans) $23 - $97 26%
Tricare $23 - $30 26%
Triwest Health Alliance $23 - $30 26%
Us Family Health Plan $23 - $30 26%
Veterans Eval Services $23 - $30 26%
Align Senior Care $24 - $98 27%
Veterans Administration $24 - $32 27%
Cca - Zing Health $26 - $34 29%
Access Health $27 - $69 30%
Longevity Ipa Of Michigan Llc Health Plan Isnp $27 - $111 30%
1199 National Benefit Fund $32 - $339 36%
Allied National Global Care $32 - $339 36%
Asr Health Benefits $32 - $328 36%
Asrm - Reliance Standard Life Insurance $32 - $339 36%
Christian Care Ministry $32 - $339 36%
Dean Health $32 - $339 36%
Fallon Health $32 - $339 36%
Family Life Insurance Company $32 - $339 36%
International Benefit Administrators $32 - $339 36%
Lifetime Benefit Solutions $32 - $339 36%
Manhattan Life $32 - $339 36%
Molina Marketplace $32 - $164 36%
Multiplan $32 - $339 36%
Mvp $32 - $339 36%
Oscar $32 - $121 36%
Pai $32 - $339 36%
Pan-American Life $32 - $339 36%
Phcs $32 - $339 36%
Trinity Health Share $32 - $339 36%
Wellpath $32 - $130 36%
Partners Direct Health - Brio $35 - $46 39%
Wc Accident Fund $35 - $311 39%
Wc Advantage $35 - $311 39%
Wc Aig $35 - $311 39%
Wc Allied $35 - $311 39%
Wc Amerisure $35 - $311 39%
Wc Amtrust $35 - $311 39%
Wc Asu Risk Mgt $35 - $311 39%
Wc Berkley Admin $35 - $311 39%
Wc Broadspire $35 - $311 39%
Wc Bunch & Associates $35 - $311 39%
Wc Ccmsi $35 - $311 39%
Wc Emc Insurance Company $35 - $311 39%
Wc Esis $35 - $311 39%
Wc Fcci $35 - $311 39%
Wc Federated $35 - $311 39%
Wc Gallagher Bassett $35 - $311 39%
Wc Genex Care For Ohio $35 - $311 39%
Wc Guard Insurance Company $35 - $311 39%
Wc Hartford $35 - $311 39%
Wc Liberty Mutual $35 - $311 39%
Wc Meijers $35 - $311 39%
Wc Michigan $35 - $311 39%
Wc Mitchell Frankenmuth $35 - $311 39%
Wc Pma $35 - $311 39%
Wc Sedgwick $35 - $311 39%
Wc Sentry $35 - $311 39%
Wc Travelers $35 - $311 39%
Wc Tristar $35 - $311 39%
Wc Walmart $35 - $311 39%
Wc Zurich $35 - $311 39%
Acclaim $37 - $353 42%
Administrative Concepts $37 - $353 42%
Allegeant $37 - $353 42%
Allied Benefit Systems $37 - $353 42%
Ameriben $37 - $353 42%
American Family $37 - $353 42%
American Healthcare Alliance $37 - $353 42%
American National $37 - $53 42%
American Republic $37 - $353 42%
Amerihealth $37 - $353 42%
Andrie Inc $37 - $49 42%
Aultcare $37 - $353 42%
Automated Benefit Services $37 - $353 42%
Auxiant $37 - $353 42%
Benefit Administrative Systems,Llc $37 - $353 42%
Boon Chapman $37 - $353 42%
Cam Administrative Services $37 - $353 42%
Christian Brother Services $37 - $353 42%
Christian Brothers Holy Cross $37 - $353 42%
Claimchoice Adminstrators $37 - $353 42%
Claimdoc $37 - $49 42%
Comprehensive Benefits $37 - $353 42%
Consociate $37 - $353 42%
Continental Life Insurance $37 - $353 42%
Coventry $37 - $53 42%
Custom Benefit Administrators $37 - $353 42%
Cypress Benefit Administrators $37 - $353 42%
East Greenbush Central School District $37 - $49 42%
Employee Benefit Concepts $37 - $353 42%
Employee Benefit Management $37 - $353 42%
Enterprise Group Planning $37 - $353 42%
First Health $37 - $356 42%
Forest County Potawatomi $37 - $353 42%
Freedom Life Insurance Company $37 - $353 42%
Genex Wc $37 - $49 42%
Group Administrators $37 - $353 42%
Group Marketing Services $37 - $353 42%
Group Pension Administrators $37 - $339 42%
Guardian $37 - $353 42%
Health America $37 - $353 42%
Health Choices $37 - $353 42%
Health Smart $37 - $353 42%
Healthcare Management Admin $37 - $53 42%
Healthez $37 - $353 42%
Healthgram $37 - $353 42%
Healthscope $37 - $353 42%
Healthsmart Workers Comp $37 - $49 42%
Insight $37 - $353 42%
Intercare $37 - $353 42%
Jag Source $37 - $49 42%
Jfp Benefit Management $37 - $353 42%
Jp Farley Corporation $37 - $353 42%
Kent County Jail $37 - $49 42%
Key Benefit Administrator $37 - $353 42%
Liberty Union Life Assurance Co $37 - $353 42%
Lucent Health $37 - $353 42%
Luminare Health $37 - $353 42%
Luminare Health (Detroit) $37 - $353 42%
Magnacare $37 - $53 42%
Medben $37 - $353 42%
Medcost $37 - $353 42%
Medical Mutual $37 - $353 42%
Muskegon County Jail $37 - $49 42%
Mutual Health Services $37 - $353 42%
Mutual Of Omaha $37 - $353 42%
Ncas $37 - $353 42%
New York State Insurance Fund $37 - $49 42%
Nippon Life Ins $37 - $353 42%
Njm Insurance Group $37 - $49 42%
Nova $37 - $353 42%
Painters Union Insurance Fund $37 - $353 42%
Physicians Mutual $37 - $353 42%
Plumbers Local 98 Insurance Fund $37 - $353 42%
Prairie States $37 - $353 42%
Preferred One $37 - $53 42%
Primary Physician Care $37 - $353 42%
Professional Benefit Administrators $37 - $353 42%
Rx Heatlhcomp $37 - $49 42%
Rx Restat $37 - $49 42%
Rx Saif Opdp Wc $37 - $49 42%
Rx Worker'S Comp $37 - $49 42%
Secureone Preferred United Plans $37 - $353 42%
Siho Insurance Services $37 - $53 42%
Sisco Benefits $37 - $53 42%
The Health Plan $37 - $53 42%
The Loomis Company $37 - $353 42%
Trustmark Small Business Benefits $37 - $353 42%
Unicare $37 - $353 42%
Unified Group Services $37 - $353 42%
Valenz $37 - $353 42%
Wc Ace $37 - $49 42%
Wc Acs Federal Employees $37 - $49 42%
Wc Acuity $37 - $49 42%
Wc Aegis $37 - $49 42%
Wc Aims $37 - $49 42%
Wc Alaska National Ins $37 - $49 42%
Wc Align Network $37 - $49 42%
Wc Am Trust N America $37 - $49 42%
Wc American Claims Mgmt $37 - $49 42%
Wc Benetech $37 - $49 42%
Wc Broward County $37 - $49 42%
Wc California State Comp Ins $37 - $49 42%
Wc California State Ins Fund $37 - $49 42%
Wc Capitol Area Health Consortium $37 - $49 42%
Wc Chartis $37 - $49 42%
Wc Chubb $37 - $49 42%
Wc Cirma $37 - $49 42%
Wc City Of Albany $37 - $49 42%
Wc City Of Sioux City $37 - $49 42%
Wc Claims Mgmt Inc $37 - $49 42%
Wc Cna $37 - $49 42%
Wc Comp One Admin C/O Manageability $37 - $49 42%
Wc Compone Admin $37 - $49 42%
Wc Corvel $37 - $49 42%
Wc Ct Healthcare Trust $37 - $49 42%
Wc Donegal Insurance Group $37 - $49 42%
Wc Employee Mutual $37 - $49 42%
Wc Enablecomp $37 - $49 42%
Wc Encore Health Network $37 - $49 42%
Wc Erie $37 - $49 42%
Wc Evolutions $37 - $49 42%
Wc Fed Ex $37 - $49 42%
Wc Federal Black Lung $37 - $49 42%
Wc Finley Occupational Health $37 - $49 42%
Wc First Agency/Occunet $37 - $49 42%
Wc Ford Motor $37 - $49 42%
Wc Fresno Unified Emp $37 - $49 42%
Wc General Motors $37 - $49 42%
Wc Generic $37 - $49 42%
Wc Great West Casualty $37 - $49 42%
Wc Guarantee Insurance $37 - $49 42%
Wc Hab $37 - $49 42%
Wc Hastings $37 - $49 42%
Wc Health Management $37 - $49 42%
Wc Heritage Summit $37 - $49 42%
Wc Hireright $37 - $49 42%
Wc Horizon $37 - $49 42%
Wc Icw Group $37 - $49 42%
Wc Idaho State Ins Fund $37 - $49 42%
Wc Intercare Insurance $37 - $49 42%
Wc Intermountain $37 - $49 42%
Wc Johns Eastern $37 - $49 42%
Wc Kemberton $37 - $49 42%
Wc Key Ins & Benefit Solutions $37 - $49 42%
Wc Mac Risk Management $37 - $49 42%
Wc Massachusetts $37 - $49 42%
Wc Mdia $37 - $49 42%
Wc Meadowbrook Claim $37 - $49 42%
Wc Medical Administrators $37 - $49 42%
Wc Memic $37 - $49 42%
Wc Mercy Workcare $37 - $49 42%
Wc Michigan Millers Mutual $37 - $49 42%
Wc Mra $37 - $49 42%
Wc Nationwide $37 - $49 42%
Wc Nca Comp $37 - $49 42%
Wc New York $37 - $49 42%
Wc New York Special Funds $37 - $49 42%
Wc North American Rishces $37 - $49 42%
Wc Northeast Health $37 - $49 42%
Wc Notre Dame $37 - $49 42%
Wc Novanet $37 - $49 42%
Wc O'Hara Corp $37 - $49 42%
Wc Occ Health Allen $37 - $49 42%
Wc Ohio Bureau $37 - $49 42%
Wc One Call Medical $37 - $49 42%
Wc Paradigm $37 - $49 42%
Wc Peerless $37 - $49 42%
Wc Praxis Health Network $37 - $49 42%
Wc Price Chopper $37 - $49 42%
Wc Procura Management $37 - $49 42%
Wc Qualcare $37 - $49 42%
Wc Quiktrip $37 - $49 42%
Wc Reny Company $37 - $49 42%
Wc Rev Claims $37 - $49 42%
Wc Risico $37 - $49 42%
Wc Rural Mutual $37 - $49 42%
Wc Saif Oregon $37 - $49 42%
Wc Secura $37 - $49 42%
Wc Sheakley Unicomp $37 - $49 42%
Wc Smile Lodge $37 - $49 42%
Wc Society $37 - $49 42%
Wc Srs $37 - $49 42%
Wc Taconic (Mro) $37 - $49 42%
Wc Taconic Farms $37 - $49 42%
Wc Triad Group $37 - $49 42%
Wc Troy Ny $37 - $49 42%
Wc Tyson $37 - $49 42%
Wc Unified Health Services $37 - $49 42%
Wc United Heartland $37 - $49 42%
Wc Us Dept Of Labor $37 - $49 42%
Wc Velocity $37 - $49 42%
Wc West Bend $37 - $49 42%
Wc West Bend Mutual/Argent $37 - $49 42%
Wc Winnebago Industries $37 - $49 42%
Wc Yankee Trails $37 - $49 42%
Wc York Risk $37 - $49 42%
Wc Zenith $37 - $49 42%
Webtpa $37 - $53 42%
Western & Southern Financial Group $37 - $353 42%
Wps $37 - $353 42%
Meritain $38 - $314 43%
Us Health And Life $38 - $353 43%
American Postal Workers Secondary $40 - $53 45%
Blue Care Network $41 - $337 46%
Blue Benefit Administrators Of Massachusetts $42 - $337 47%
Blue Distinction Transplant $42 - $337 47%
Blue Shield - Ca $42 - $337 47%
Blue Shield - Id (Regence) $42 - $337 47%
Blue Shield - Ny Highmark Northeastern $42 - $337 47%
Blue Shield - Ny Highmark Western $42 - $337 47%
Blue Shield - Pa (Highmark) $42 - $337 47%
Blue Shield - Wa (Regence) $42 - $337 47%
Priority Health $43 - $355 48%
Nomi Health $48 - $221 54%
Bcccp-Michigan $63 - $91 71%
U Of M Health Plan $63 - $353 71%
Blue Care Network Advantage $64 - $97 72%
Correctional Recovery $66 - $98 74%
Vitalcore $87 - $131 98%
Hospice Of Michigan $144 - $217 162%
Bcn Domestic $224 - $337 252%
Kaiser Domestic $224 - $337 252%
Ghc Scw $225 - $339 253%
Medi Share $225 - $339 253%
Paramount Hmo $225 - $339 253%
Caresource $234 - $352 263%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 72 South State Street, Shelby, MI 49455
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals