CMS Price Transparency Data

X-ray, shoulder

Facility: Mercy Health Lakeshore Campus

Billing Code: 73030 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$21
about 0.2× the $89 Medicare rate · typically $20–$36
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
Above the fair price
about $15 over the fair price · 0.4× Medicare
Medicare pays $89 Fair price $21 This hospital $36 Hospital's list price $190

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 $18 Priciest $36

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, shoulder is about $21 (about 0.2× the $89 Medicare rate). Mercy Health Lakeshore Campus charges insurers about $36 — 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 $21. 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 $18 - $400 20%
Blue Cross Blue Shieldmajor $17 - $380 19%
Aetnamajor $17 - $354 19%
Cignamajor $17 - $386 19%
Humanamajor $17 - $398 19%
Kaiser Permanentemajor $253 - $380 285%
Ambetter (Centene) $17 - $23 19%
AmeriHealth $35 - $398 39%
CareSource $264 - $397 297%
Dean Health Plan $33 - $383 37%
GEHA $21 - $400 24%
Health Net $17 - $50 19%
HealthPartners $17 - $27 19%
MagnaCare $35 - $48 39%
Medical Mutual $35 - $398 39%
Meridian $17 - $23 19%
Molina $17 - $185 19%
MVP Health Care $33 - $383 37%
Oscar Health $33 - $137 37%
Paramount $17 - $383 19%
Presbyterian $17 - $23 19%
Priority Health $41 - $401 46%
Tufts Health Plan $17 - $27 19%
UniCare $35 - $398 39%
WellSense $17 - $23 19%
+ 355 smaller / regional plans $17 - $409
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