CMS Price Transparency Data

X-ray, hand

Facility: Mercy Health Lakeshore Campus

Billing Code: 73130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$19
about 0.2× the $89 Medicare rate · typically $19–$31
modeled estimate · not a bill or quote
What this hospital charges insurers
$39
Well above the fair price
about $20 over the fair price · 0.4× Medicare
Medicare pays $89 Fair price $19 This hospital $39 Hospital's list price $134

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $17 Priciest $39

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, hand is about $19 (about 0.2× the $89 Medicare rate). Mercy Health Lakeshore Campus charges insurers about $39 — well above the fair price. Located in Shelby, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $19. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $19 - $332 21%
Blue Cross Blue Shieldmajor $19 - $315 21%
Aetnamajor $19 - $294 21%
Cignamajor $19 - $320 21%
Humanamajor $19 - $330 21%
Kaiser Permanentemajor $209 - $315 235%
Ambetter (Centene) $19 - $28 21%
AmeriHealth $39 - $330 44%
CareSource $219 - $329 246%
Dean Health Plan $37 - $317 42%
GEHA $24 - $332 27%
Health Net $19 - $53 21%
HealthPartners $19 - $30 21%
MagnaCare $39 - $78 44%
Medical Mutual $39 - $330 44%
Meridian $19 - $28 21%
Molina $19 - $154 21%
MVP Health Care $37 - $317 42%
Oscar Health $37 - $113 42%
Paramount $19 - $317 21%
Presbyterian $19 - $28 21%
Priority Health $46 - $333 52%
Tufts Health Plan $19 - $30 21%
UniCare $39 - $330 44%
WellSense $19 - $28 21%
+ 355 smaller / regional plans $19 - $339
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 16 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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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