CMS Price Transparency Data

X-ray, hand

Facility: Mercy Health Lakeshore Campus

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $41
  • Cash Discount Price: $240
  • vs. Medicare Baseline: 0.46x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Mercy Health Lakeshore Campus is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $240. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.46x the Medicare baseline. Located in 72 South State Street, Shelby, MI.
Cash / Self-Pay
$240

Average discount available for prompt cash payment at this facility.

Insurance Median
$41

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: $240 (270%)
Insurance Median: $41 (46%)
Cash: $240 (270% of Medicare)
Ins. Median: $41 (46% 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 $12 - $72 13%
Aetna $19 - $294 21%
Albany County Correctional Facility $19 - $28 21%
Ambetter / Centene $19 - $28 21%
Amish Mennonite $19 - $28 21%
Ascension St. Vincent Public Safety Medical $19 - $28 21%
Bccp $19 - $28 21%
Blue Cross Blue Shield $19 - $315 21%
Bmc Healthnet $19 - $28 21%
Breast Grant-Connecticut $19 - $28 21%
Broward County Dept Of Health $19 - $28 21%
California Health And Wellness $19 - $28 21%
Can Community Health Inc $19 - $28 21%
Cardinal Innovations Lme $19 - $28 21%
Care Connections Of Northern Iowa $19 - $28 21%
Care Oregon Ohp $19 - $28 21%
Cencal Health Plan $19 - $28 21%
Cenpatico $19 - $28 21%
Chhuny $19 - $28 21%
Childrens Comm Health Plan $19 - $28 21%
Childrens Medical Services Title 19 $19 - $28 21%
Cigna $19 - $320 21%
City Of Philadelphia $19 - $28 21%
Cmh Allegan County $19 - $28 21%
Cmh Ausable Valley $19 - $28 21%
Cmh Barry County $19 - $28 21%
Cmh Bay-Arenac County $19 - $28 21%
Cmh Berrien County $19 - $28 21%
Cmh Cass County $19 - $28 21%
Cmh Central Mi County $19 - $28 21%
Cmh Clinton-Eaton-Ingham County $19 - $28 21%
Cmh Detroit Wayne Integrated Health Network $19 - $28 21%
Cmh Genesee County $19 - $28 21%
Cmh Ionia County $19 - $28 21%
Cmh Jackson County/Lifeways $19 - $28 21%
Cmh Kalamazoo $19 - $28 21%
Cmh Kent County $19 - $28 21%
Cmh Lenawee County $19 - $28 21%
Cmh Livingston County $19 - $28 21%
Cmh Macomb $19 - $28 21%
Cmh Misc $19 - $28 21%
Cmh Monroe County $19 - $28 21%
Cmh Montcalm County $19 - $28 21%
Cmh Muskegon County $19 - $28 21%
Cmh Newaygo County $19 - $28 21%
Cmh North Country $19 - $28 21%
Cmh Northern Lakes County $19 - $28 21%
Cmh Oakland County $19 - $28 21%
Cmh Ottawa County $19 - $28 21%
Cmh Van Buren County $19 - $28 21%
Cmh Washtenaw County $19 - $28 21%
Cmh Wayne County/Carelink $19 - $28 21%
Cmh Wayne Cty/Com Liv Svcs $19 - $28 21%
Cmh West Mi County $19 - $28 21%
Community Benefit Health $19 - $28 21%
Community Care Behavorial Health $19 - $28 21%
Community Care Partners $19 - $28 21%
Community Health Choice $19 - $28 21%
Connections Csp $19 - $28 21%
County Coroner $19 - $28 21%
County Funding Generic $19 - $28 21%
Covid19 Hrsa Uninsured Testing And Treatment Fund $19 - $28 21%
Dean Wi Badgercare $19 - $28 21%
Delaware County Department Of Health $19 - $28 21%
Delaware First Health $19 - $28 21%
Delta Dental Nj $19 - $28 21%
Dph Tb Program $19 - $28 21%
Dscc $19 - $28 21%
Eastpointe Lme $19 - $28 21%
Family Health Network $19 - $28 21%
Freedom First Healthcare $19 - $28 21%
Fresno County Ccs $19 - $28 21%
Ghc Scw Wi Badgercare $19 - $28 21%
Harbor Health $19 - $28 21%
Health Safety Net $19 - $28 21%
Healthy Blue Ne $19 - $28 21%
Hennepin Health $19 - $28 21%
Humana $19 - $330 21%
Id County Ada $19 - $28 21%
Id County Canyon $19 - $28 21%
Id County Cat Fund $19 - $28 21%
Id County Other $19 - $28 21%
Id County Payette $19 - $28 21%
Idaho Dept Health And Wellfare $19 - $28 21%
Idaho Womens Health Check $19 - $28 21%
Indiana Breast Cervical Cancer $19 - $28 21%
Inland Empire Health Plan $19 - $28 21%
Intercommunity Health Ohp $19 - $28 21%
Iowa Total Care $19 - $28 21%
Jai Medical System $19 - $28 21%
Kern Family Health Plan $19 - $28 21%
Keystone First $19 - $28 21%
Keystone First Chip $19 - $28 21%
La Care Health Plan $19 - $28 21%
Lakeland Care Inc $19 - $28 21%
Managed Health Services - Indiana $19 - $28 21%
Maryland Breast & Cervical Program $19 - $28 21%
Maryland Healthy Smiles - Scion Dental $19 - $28 21%
Maryland Physicians Care $19 - $28 21%
Massachusetts Behavioral Health Partnership $19 - $28 21%
Mdwise $19 - $28 21%
Medi-Cal $19 - $28 21%
Medi-Cal Healthnet $19 - $28 21%
Medstar Dc Healthy Family $19 - $28 21%
Medstar Md Health Choice $19 - $28 21%
Mo Home State Health Plan $19 - $28 21%
Molina Centennial Care $19 - $28 21%
Nascentia Health Options $19 - $28 21%
Nebraska Total Care $19 - $28 21%
New York Cancer Services Program $19 - $28 21%
Nextlevel Health $19 - $28 21%
Oregon Screenwise $19 - $28 21%
Pace Of Southwest Michigan $19 - $28 21%
Paramount Advantage $19 - $28 21%
Parkland Community Health Plan $19 - $28 21%
Partners Behavioral Lme $19 - $28 21%
Peach State Healthplan $19 - $28 21%
Philadelphia County Funding $19 - $28 21%
Presbyterian Centennial Care $19 - $28 21%
Prestige Health Choice $19 - $28 21%
Priority Partners $19 - $28 21%
Robert F Sing Program $19 - $28 21%
Rx 340B Pass Along $19 - $28 21%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $19 - $28 21%
Rx Medi-Cal $19 - $28 21%
Rx Meridian Rx $19 - $28 21%
Ryan White Florida Mssrp $19 - $28 21%
Sandhills Center Lme $19 - $28 21%
Screening For Life $19 - $28 21%
St Joseph County Hlth Dpt $19 - $28 21%
Stephenson Cty Health $19 - $28 21%
Sunshine State Health Plan $19 - $28 21%
Superior Health $19 - $28 21%
Tenncare $19 - $28 21%
Texas Children'S Health Plan $19 - $28 21%
Trillium Community Ohp $19 - $28 21%
Tufts Health Public Plans $19 - $28 21%
UnitedHealthcare $19 - $332 21%
Vaya Health Lme $19 - $28 21%
Washtenaw Health Plan $19 - $28 21%
Wellsense Health Plan $19 - $28 21%
Wi Womens Wellness $19 - $28 21%
Hap $20 - $339 22%
Health Partners $20 - $30 22%
Tufts Health Plan $20 - $30 22%
Geha $24 - $332 27%
Champva $25 - $38 28%
Tricare $25 - $38 28%
Triwest Health Alliance $25 - $38 28%
Us Family Health Plan $25 - $38 28%
Veterans Eval Services $25 - $38 28%
Align Senior Care $27 - $92 30%
Medicare (plans) $27 - $90 30%
Veterans Administration $27 - $54 30%
Cca - Zing Health $29 - $59 33%
Access Health $30 - $65 34%
Longevity Ipa Of Michigan Llc Health Plan Isnp $31 - $104 35%
Asr Health Benefits $35 - $307 39%
1199 National Benefit Fund $37 - $317 42%
Allied National Global Care $37 - $317 42%
Asrm - Reliance Standard Life Insurance $37 - $317 42%
Christian Care Ministry $37 - $317 42%
Dean Health $37 - $317 42%
Fallon Health $37 - $317 42%
Family Life Insurance Company $37 - $317 42%
International Benefit Administrators $37 - $317 42%
Lifetime Benefit Solutions $37 - $317 42%
Manhattan Life $37 - $317 42%
Molina Marketplace $37 - $154 42%
Multiplan $37 - $317 42%
Mvp $37 - $317 42%
Oscar $37 - $113 42%
Pai $37 - $317 42%
Pan-American Life $37 - $317 42%
Phcs $37 - $317 42%
Trinity Health Share $37 - $317 42%
Wellpath $37 - $130 42%
Acclaim $39 - $330 44%
Administrative Concepts $39 - $330 44%
Allegeant $39 - $330 44%
Allied Benefit Systems $39 - $330 44%
Ameriben $39 - $330 44%
American Family $39 - $330 44%
American Healthcare Alliance $39 - $330 44%
American National $39 - $78 44%
American Republic $39 - $330 44%
Amerihealth $39 - $330 44%
Aultcare $39 - $330 44%
Automated Benefit Services $39 - $330 44%
Auxiant $39 - $330 44%
Benefit Administrative Systems,Llc $39 - $330 44%
Boon Chapman $39 - $330 44%
Cam Administrative Services $39 - $330 44%
Christian Brother Services $39 - $330 44%
Christian Brothers Holy Cross $39 - $330 44%
Claimchoice Adminstrators $39 - $330 44%
Comprehensive Benefits $39 - $330 44%
Consociate $39 - $330 44%
Continental Life Insurance $39 - $330 44%
Coventry $39 - $78 44%
Custom Benefit Administrators $39 - $330 44%
Cypress Benefit Administrators $39 - $330 44%
Employee Benefit Concepts $39 - $330 44%
Employee Benefit Management $39 - $330 44%
Enterprise Group Planning $39 - $330 44%
First Health $39 - $334 44%
Forest County Potawatomi $39 - $330 44%
Freedom Life Insurance Company $39 - $330 44%
Group Administrators $39 - $330 44%
Group Marketing Services $39 - $330 44%
Group Pension Administrators $39 - $317 44%
Guardian $39 - $330 44%
Health America $39 - $330 44%
Health Choices $39 - $330 44%
Health Smart $39 - $330 44%
Healthcare Management Admin $39 - $78 44%
Healthez $39 - $330 44%
Healthgram $39 - $330 44%
Healthscope $39 - $330 44%
Insight $39 - $330 44%
Intercare $39 - $330 44%
Jfp Benefit Management $39 - $330 44%
Jp Farley Corporation $39 - $330 44%
Key Benefit Administrator $39 - $330 44%
Liberty Union Life Assurance Co $39 - $330 44%
Lucent Health $39 - $330 44%
Luminare Health $39 - $330 44%
Luminare Health (Detroit) $39 - $330 44%
Magnacare $39 - $78 44%
Medben $39 - $330 44%
Medcost $39 - $330 44%
Medical Mutual $39 - $330 44%
Mutual Health Services $39 - $330 44%
Mutual Of Omaha $39 - $330 44%
Ncas $39 - $330 44%
Nippon Life Ins $39 - $330 44%
Nova $39 - $330 44%
Painters Union Insurance Fund $39 - $330 44%
Partners Direct Health - Brio $39 - $79 44%
Physicians Mutual $39 - $330 44%
Plumbers Local 98 Insurance Fund $39 - $330 44%
Prairie States $39 - $330 44%
Preferred One $39 - $78 44%
Primary Physician Care $39 - $330 44%
Professional Benefit Administrators $39 - $330 44%
Secureone Preferred United Plans $39 - $330 44%
Siho Insurance Services $39 - $78 44%
Sisco Benefits $39 - $78 44%
The Health Plan $39 - $78 44%
The Loomis Company $39 - $330 44%
Trustmark Small Business Benefits $39 - $330 44%
Unicare $39 - $330 44%
Unified Group Services $39 - $330 44%
Valenz $39 - $330 44%
Wc Accident Fund $39 - $291 44%
Wc Advantage $39 - $291 44%
Wc Aig $39 - $291 44%
Wc Allied $39 - $291 44%
Wc Amerisure $39 - $291 44%
Wc Amtrust $39 - $291 44%
Wc Asu Risk Mgt $39 - $291 44%
Wc Berkley Admin $39 - $291 44%
Wc Broadspire $39 - $291 44%
Wc Bunch & Associates $39 - $291 44%
Wc Ccmsi $39 - $291 44%
Wc Emc Insurance Company $39 - $291 44%
Wc Esis $39 - $291 44%
Wc Fcci $39 - $291 44%
Wc Federated $39 - $291 44%
Wc Gallagher Bassett $39 - $291 44%
Wc Genex Care For Ohio $39 - $291 44%
Wc Guard Insurance Company $39 - $291 44%
Wc Hartford $39 - $291 44%
Wc Liberty Mutual $39 - $291 44%
Wc Meijers $39 - $291 44%
Wc Michigan $39 - $291 44%
Wc Mitchell Frankenmuth $39 - $291 44%
Wc Pma $39 - $291 44%
Wc Sedgwick $39 - $291 44%
Wc Sentry $39 - $291 44%
Wc Travelers $39 - $291 44%
Wc Tristar $39 - $291 44%
Wc Walmart $39 - $291 44%
Wc Zurich $39 - $291 44%
Webtpa $39 - $78 44%
Western & Southern Financial Group $39 - $330 44%
Wps $39 - $330 44%
Andrie Inc $41 - $53 46%
East Greenbush Central School District $41 - $53 46%
Genex Wc $41 - $53 46%
Healthsmart Workers Comp $41 - $53 46%
Jag Source $41 - $53 46%
Meritain $41 - $294 46%
New York State Insurance Fund $41 - $53 46%
Njm Insurance Group $41 - $53 46%
Rx Heatlhcomp $41 - $53 46%
Rx Restat $41 - $53 46%
Rx Saif Opdp Wc $41 - $53 46%
Rx Worker'S Comp $41 - $53 46%
Us Health And Life $41 - $330 46%
Wc Ace $41 - $53 46%
Wc Acs Federal Employees $41 - $53 46%
Wc Acuity $41 - $53 46%
Wc Aegis $41 - $53 46%
Wc Aims $41 - $53 46%
Wc Alaska National Ins $41 - $53 46%
Wc Align Network $41 - $53 46%
Wc Am Trust N America $41 - $53 46%
Wc American Claims Mgmt $41 - $53 46%
Wc Benetech $41 - $53 46%
Wc Broward County $41 - $53 46%
Wc California State Comp Ins $41 - $53 46%
Wc California State Ins Fund $41 - $53 46%
Wc Capitol Area Health Consortium $41 - $53 46%
Wc Chartis $41 - $53 46%
Wc Chubb $41 - $53 46%
Wc Cirma $41 - $53 46%
Wc City Of Albany $41 - $53 46%
Wc City Of Sioux City $41 - $53 46%
Wc Claims Mgmt Inc $41 - $53 46%
Wc Cna $41 - $53 46%
Wc Comp One Admin C/O Manageability $41 - $53 46%
Wc Compone Admin $41 - $53 46%
Wc Corvel $41 - $53 46%
Wc Ct Healthcare Trust $41 - $53 46%
Wc Donegal Insurance Group $41 - $53 46%
Wc Employee Mutual $41 - $53 46%
Wc Enablecomp $41 - $53 46%
Wc Encore Health Network $41 - $53 46%
Wc Erie $41 - $53 46%
Wc Evolutions $41 - $53 46%
Wc Fed Ex $41 - $53 46%
Wc Federal Black Lung $41 - $53 46%
Wc Finley Occupational Health $41 - $53 46%
Wc First Agency/Occunet $41 - $53 46%
Wc Ford Motor $41 - $53 46%
Wc Fresno Unified Emp $41 - $53 46%
Wc General Motors $41 - $53 46%
Wc Generic $41 - $53 46%
Wc Great West Casualty $41 - $53 46%
Wc Guarantee Insurance $41 - $53 46%
Wc Hab $41 - $53 46%
Wc Hastings $41 - $53 46%
Wc Health Management $41 - $53 46%
Wc Heritage Summit $41 - $53 46%
Wc Hireright $41 - $53 46%
Wc Horizon $41 - $53 46%
Wc Icw Group $41 - $53 46%
Wc Idaho State Ins Fund $41 - $53 46%
Wc Intercare Insurance $41 - $53 46%
Wc Intermountain $41 - $53 46%
Wc Johns Eastern $41 - $53 46%
Wc Kemberton $41 - $53 46%
Wc Key Ins & Benefit Solutions $41 - $53 46%
Wc Mac Risk Management $41 - $53 46%
Wc Massachusetts $41 - $53 46%
Wc Mdia $41 - $53 46%
Wc Meadowbrook Claim $41 - $53 46%
Wc Medical Administrators $41 - $53 46%
Wc Memic $41 - $53 46%
Wc Mercy Workcare $41 - $53 46%
Wc Michigan Millers Mutual $41 - $53 46%
Wc Mra $41 - $53 46%
Wc Nationwide $41 - $53 46%
Wc Nca Comp $41 - $53 46%
Wc New York $41 - $53 46%
Wc New York Special Funds $41 - $53 46%
Wc North American Rishces $41 - $53 46%
Wc Northeast Health $41 - $53 46%
Wc Notre Dame $41 - $53 46%
Wc Novanet $41 - $53 46%
Wc O'Hara Corp $41 - $53 46%
Wc Occ Health Allen $41 - $53 46%
Wc Ohio Bureau $41 - $53 46%
Wc One Call Medical $41 - $53 46%
Wc Paradigm $41 - $53 46%
Wc Peerless $41 - $53 46%
Wc Praxis Health Network $41 - $53 46%
Wc Price Chopper $41 - $53 46%
Wc Procura Management $41 - $53 46%
Wc Qualcare $41 - $53 46%
Wc Quiktrip $41 - $53 46%
Wc Reny Company $41 - $53 46%
Wc Rev Claims $41 - $53 46%
Wc Risico $41 - $53 46%
Wc Rural Mutual $41 - $53 46%
Wc Saif Oregon $41 - $53 46%
Wc Secura $41 - $53 46%
Wc Sheakley Unicomp $41 - $53 46%
Wc Smile Lodge $41 - $53 46%
Wc Society $41 - $53 46%
Wc Srs $41 - $53 46%
Wc Taconic (Mro) $41 - $53 46%
Wc Taconic Farms $41 - $53 46%
Wc Triad Group $41 - $53 46%
Wc Troy Ny $41 - $53 46%
Wc Tyson $41 - $53 46%
Wc Unified Health Services $41 - $53 46%
Wc United Heartland $41 - $53 46%
Wc Us Dept Of Labor $41 - $53 46%
Wc Velocity $41 - $53 46%
Wc West Bend $41 - $53 46%
Wc West Bend Mutual/Argent $41 - $53 46%
Wc Winnebago Industries $41 - $53 46%
Wc Yankee Trails $41 - $53 46%
Wc York Risk $41 - $53 46%
Wc Zenith $41 - $53 46%
Claimdoc $42 - $84 47%
Kent County Jail $42 - $84 47%
Muskegon County Jail $42 - $84 47%
American Postal Workers Secondary $43 - $65 48%
Blue Care Network $44 - $315 49%
Varipro $45 - $339 51%
Blue Benefit Administrators Of Massachusetts $46 - $315 52%
Blue Distinction Transplant $46 - $315 52%
Blue Shield - Ca $46 - $315 52%
Blue Shield - Id (Regence) $46 - $315 52%
Blue Shield - Ny Highmark Northeastern $46 - $315 52%
Blue Shield - Ny Highmark Western $46 - $315 52%
Blue Shield - Pa (Highmark) $46 - $315 52%
Blue Shield - Wa (Regence) $46 - $315 52%
Priority Health $46 - $333 52%
Nomi Health $54 - $207 61%
Bcccp-Michigan $58 - $134 65%
Blue Care Network Advantage $60 - $90 67%
Correctional Recovery $61 - $92 69%
U Of M Health Plan $67 - $330 75%
Vitalcore $82 - $123 92%
Hospice Of Michigan $135 - $203 152%
Bcn Domestic $209 - $315 235%
Kaiser Domestic $209 - $315 235%
Ghc Scw $211 - $317 237%
Medi Share $211 - $317 237%
Paramount Hmo $211 - $317 237%
Caresource $219 - $329 246%

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