CMS Price Transparency Data

X-ray, shoulder

Facility: Mercy Health Lakeshore Campus

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $36
  • Cash Discount Price: $192
  • vs. Medicare Baseline: 0.40x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Mercy Health Lakeshore Campus is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $192. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.40x the Medicare baseline. Located in 72 South State Street, Shelby, MI.
Cash / Self-Pay
$192

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

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: $192 (216%)
Insurance Median: $36 (40%)
Cash: $192 (216% of Medicare)
Ins. Median: $36 (40% 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%
Aetna $17 - $354 19%
Albany County Correctional Facility $17 - $23 19%
Ambetter / Centene $17 - $23 19%
Amish Mennonite $17 - $23 19%
Ascension St. Vincent Public Safety Medical $17 - $23 19%
Bccp $17 - $23 19%
Blue Cross Blue Shield $17 - $380 19%
Bmc Healthnet $17 - $23 19%
Breast Grant-Connecticut $17 - $23 19%
Broward County Dept Of Health $17 - $23 19%
California Health And Wellness $17 - $23 19%
Can Community Health Inc $17 - $23 19%
Cardinal Innovations Lme $17 - $23 19%
Care Connections Of Northern Iowa $17 - $23 19%
Care Oregon Ohp $17 - $23 19%
Cencal Health Plan $17 - $23 19%
Cenpatico $17 - $23 19%
Chhuny $17 - $23 19%
Childrens Comm Health Plan $17 - $23 19%
Childrens Medical Services Title 19 $17 - $23 19%
Cigna $17 - $386 19%
City Of Philadelphia $17 - $23 19%
Cmh Allegan County $17 - $23 19%
Cmh Ausable Valley $17 - $23 19%
Cmh Barry County $17 - $23 19%
Cmh Bay-Arenac County $17 - $23 19%
Cmh Berrien County $17 - $23 19%
Cmh Cass County $17 - $23 19%
Cmh Central Mi County $17 - $23 19%
Cmh Clinton-Eaton-Ingham County $17 - $23 19%
Cmh Detroit Wayne Integrated Health Network $17 - $23 19%
Cmh Genesee County $17 - $23 19%
Cmh Ionia County $17 - $23 19%
Cmh Jackson County/Lifeways $17 - $23 19%
Cmh Kalamazoo $17 - $23 19%
Cmh Kent County $17 - $23 19%
Cmh Lenawee County $17 - $23 19%
Cmh Livingston County $17 - $23 19%
Cmh Macomb $17 - $23 19%
Cmh Misc $17 - $23 19%
Cmh Monroe County $17 - $23 19%
Cmh Montcalm County $17 - $23 19%
Cmh Muskegon County $17 - $23 19%
Cmh Newaygo County $17 - $23 19%
Cmh North Country $17 - $23 19%
Cmh Northern Lakes County $17 - $23 19%
Cmh Oakland County $17 - $23 19%
Cmh Ottawa County $17 - $23 19%
Cmh Van Buren County $17 - $23 19%
Cmh Washtenaw County $17 - $23 19%
Cmh Wayne County/Carelink $17 - $23 19%
Cmh Wayne Cty/Com Liv Svcs $17 - $23 19%
Cmh West Mi County $17 - $23 19%
Community Benefit Health $17 - $23 19%
Community Care Behavorial Health $17 - $23 19%
Community Care Partners $17 - $23 19%
Community Health Choice $17 - $23 19%
Connections Csp $17 - $23 19%
County Coroner $17 - $23 19%
County Funding Generic $17 - $23 19%
Covid19 Hrsa Uninsured Testing And Treatment Fund $17 - $23 19%
Dean Wi Badgercare $17 - $23 19%
Delaware County Department Of Health $17 - $23 19%
Delaware First Health $17 - $23 19%
Delta Dental Nj $17 - $23 19%
Dph Tb Program $17 - $23 19%
Dscc $17 - $23 19%
Eastpointe Lme $17 - $23 19%
Family Health Network $17 - $23 19%
Freedom First Healthcare $17 - $23 19%
Fresno County Ccs $17 - $23 19%
Ghc Scw Wi Badgercare $17 - $23 19%
Harbor Health $17 - $23 19%
Health Safety Net $17 - $23 19%
Healthy Blue Ne $17 - $23 19%
Hennepin Health $17 - $23 19%
Humana $17 - $398 19%
Id County Ada $17 - $23 19%
Id County Canyon $17 - $23 19%
Id County Cat Fund $17 - $23 19%
Id County Other $17 - $23 19%
Id County Payette $17 - $23 19%
Idaho Dept Health And Wellfare $17 - $23 19%
Idaho Womens Health Check $17 - $23 19%
Indiana Breast Cervical Cancer $17 - $23 19%
Inland Empire Health Plan $17 - $23 19%
Intercommunity Health Ohp $17 - $23 19%
Iowa Total Care $17 - $23 19%
Jai Medical System $17 - $23 19%
Kern Family Health Plan $17 - $23 19%
Keystone First $17 - $23 19%
Keystone First Chip $17 - $23 19%
La Care Health Plan $17 - $23 19%
Lakeland Care Inc $17 - $23 19%
Managed Health Services - Indiana $17 - $23 19%
Maryland Breast & Cervical Program $17 - $23 19%
Maryland Healthy Smiles - Scion Dental $17 - $23 19%
Maryland Physicians Care $17 - $23 19%
Massachusetts Behavioral Health Partnership $17 - $23 19%
Mdwise $17 - $23 19%
Medi-Cal $17 - $23 19%
Medi-Cal Healthnet $17 - $23 19%
Medstar Dc Healthy Family $17 - $23 19%
Medstar Md Health Choice $17 - $23 19%
Mo Home State Health Plan $17 - $23 19%
Molina Centennial Care $17 - $23 19%
Nascentia Health Options $17 - $23 19%
Nebraska Total Care $17 - $23 19%
New York Cancer Services Program $17 - $23 19%
Nextlevel Health $17 - $23 19%
Oregon Screenwise $17 - $23 19%
Pace Of Southwest Michigan $17 - $23 19%
Paramount Advantage $17 - $23 19%
Parkland Community Health Plan $17 - $23 19%
Partners Behavioral Lme $17 - $23 19%
Peach State Healthplan $17 - $23 19%
Philadelphia County Funding $17 - $23 19%
Presbyterian Centennial Care $17 - $23 19%
Prestige Health Choice $17 - $23 19%
Priority Partners $17 - $23 19%
Robert F Sing Program $17 - $23 19%
Rx 340B Pass Along $17 - $23 19%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $17 - $23 19%
Rx Medi-Cal $17 - $23 19%
Rx Meridian Rx $17 - $23 19%
Ryan White Florida Mssrp $17 - $23 19%
Sandhills Center Lme $17 - $23 19%
Screening For Life $17 - $23 19%
St Joseph County Hlth Dpt $17 - $23 19%
Stephenson Cty Health $17 - $23 19%
Sunshine State Health Plan $17 - $23 19%
Superior Health $17 - $23 19%
Tenncare $17 - $23 19%
Texas Children'S Health Plan $17 - $23 19%
Trillium Community Ohp $17 - $23 19%
Tufts Health Public Plans $17 - $23 19%
Vaya Health Lme $17 - $23 19%
Washtenaw Health Plan $17 - $23 19%
Wellsense Health Plan $17 - $23 19%
Wi Womens Wellness $17 - $23 19%
Hap $18 - $409 20%
Health Partners $18 - $27 20%
Tufts Health Plan $18 - $27 20%
UnitedHealthcare $18 - $400 20%
Geha $21 - $400 24%
Champva $22 - $31 25%
Tricare $22 - $31 25%
Triwest Health Alliance $22 - $31 25%
Us Family Health Plan $22 - $31 25%
Veterans Eval Services $22 - $31 25%
Align Senior Care $24 - $111 27%
Medicare (plans) $24 - $109 27%
Veterans Administration $24 - $33 27%
Cca - Zing Health $26 - $36 29%
Access Health $27 - $78 30%
Longevity Ipa Of Michigan Llc Health Plan Isnp $28 - $125 31%
Asr Health Benefits $31 - $371 35%
1199 National Benefit Fund $33 - $383 37%
Allied National Global Care $33 - $383 37%
Asrm - Reliance Standard Life Insurance $33 - $383 37%
Christian Care Ministry $33 - $383 37%
Dean Health $33 - $383 37%
Fallon Health $33 - $383 37%
Family Life Insurance Company $33 - $383 37%
International Benefit Administrators $33 - $383 37%
Lifetime Benefit Solutions $33 - $383 37%
Manhattan Life $33 - $383 37%
Molina Marketplace $33 - $185 37%
Multiplan $33 - $383 37%
Mvp $33 - $383 37%
Oscar $33 - $137 37%
Pai $33 - $383 37%
Pan-American Life $33 - $383 37%
Phcs $33 - $383 37%
Trinity Health Share $33 - $383 37%
Wellpath $33 - $130 37%
Acclaim $35 - $398 39%
Administrative Concepts $35 - $398 39%
Allegeant $35 - $398 39%
Allied Benefit Systems $35 - $398 39%
Ameriben $35 - $398 39%
American Family $35 - $398 39%
American Healthcare Alliance $35 - $398 39%
American National $35 - $48 39%
American Republic $35 - $398 39%
Amerihealth $35 - $398 39%
Aultcare $35 - $398 39%
Automated Benefit Services $35 - $398 39%
Auxiant $35 - $398 39%
Benefit Administrative Systems,Llc $35 - $398 39%
Boon Chapman $35 - $398 39%
Cam Administrative Services $35 - $398 39%
Christian Brother Services $35 - $398 39%
Christian Brothers Holy Cross $35 - $398 39%
Claimchoice Adminstrators $35 - $398 39%
Comprehensive Benefits $35 - $398 39%
Consociate $35 - $398 39%
Continental Life Insurance $35 - $398 39%
Coventry $35 - $48 39%
Custom Benefit Administrators $35 - $398 39%
Cypress Benefit Administrators $35 - $398 39%
Employee Benefit Concepts $35 - $398 39%
Employee Benefit Management $35 - $398 39%
Enterprise Group Planning $35 - $398 39%
First Health $35 - $402 39%
Forest County Potawatomi $35 - $398 39%
Freedom Life Insurance Company $35 - $398 39%
Group Administrators $35 - $398 39%
Group Marketing Services $35 - $398 39%
Group Pension Administrators $35 - $383 39%
Guardian $35 - $398 39%
Health America $35 - $398 39%
Health Choices $35 - $398 39%
Health Smart $35 - $398 39%
Healthcare Management Admin $35 - $48 39%
Healthez $35 - $398 39%
Healthgram $35 - $398 39%
Healthscope $35 - $398 39%
Insight $35 - $398 39%
Intercare $35 - $398 39%
Jfp Benefit Management $35 - $398 39%
Jp Farley Corporation $35 - $398 39%
Key Benefit Administrator $35 - $398 39%
Liberty Union Life Assurance Co $35 - $398 39%
Lucent Health $35 - $398 39%
Luminare Health $35 - $398 39%
Luminare Health (Detroit) $35 - $398 39%
Magnacare $35 - $48 39%
Medben $35 - $398 39%
Medcost $35 - $398 39%
Medical Mutual $35 - $398 39%
Mutual Health Services $35 - $398 39%
Mutual Of Omaha $35 - $398 39%
Ncas $35 - $398 39%
Nippon Life Ins $35 - $398 39%
Nova $35 - $398 39%
Painters Union Insurance Fund $35 - $398 39%
Partners Direct Health - Brio $35 - $48 39%
Physicians Mutual $35 - $398 39%
Plumbers Local 98 Insurance Fund $35 - $398 39%
Prairie States $35 - $398 39%
Preferred One $35 - $48 39%
Primary Physician Care $35 - $398 39%
Professional Benefit Administrators $35 - $398 39%
Secureone Preferred United Plans $35 - $398 39%
Siho Insurance Services $35 - $48 39%
Sisco Benefits $35 - $48 39%
The Health Plan $35 - $48 39%
The Loomis Company $35 - $398 39%
Trustmark Small Business Benefits $35 - $398 39%
Unicare $35 - $398 39%
Unified Group Services $35 - $398 39%
Valenz $35 - $398 39%
Wc Accident Fund $35 - $351 39%
Wc Advantage $35 - $351 39%
Wc Aig $35 - $351 39%
Wc Allied $35 - $351 39%
Wc Amerisure $35 - $351 39%
Wc Amtrust $35 - $351 39%
Wc Asu Risk Mgt $35 - $351 39%
Wc Berkley Admin $35 - $351 39%
Wc Broadspire $35 - $351 39%
Wc Bunch & Associates $35 - $351 39%
Wc Ccmsi $35 - $351 39%
Wc Emc Insurance Company $35 - $351 39%
Wc Esis $35 - $351 39%
Wc Fcci $35 - $351 39%
Wc Federated $35 - $351 39%
Wc Gallagher Bassett $35 - $351 39%
Wc Genex Care For Ohio $35 - $351 39%
Wc Guard Insurance Company $35 - $351 39%
Wc Hartford $35 - $351 39%
Wc Liberty Mutual $35 - $351 39%
Wc Meijers $35 - $351 39%
Wc Michigan $35 - $351 39%
Wc Mitchell Frankenmuth $35 - $351 39%
Wc Pma $35 - $351 39%
Wc Sedgwick $35 - $351 39%
Wc Sentry $35 - $351 39%
Wc Travelers $35 - $351 39%
Wc Tristar $35 - $351 39%
Wc Walmart $35 - $351 39%
Wc Zurich $35 - $351 39%
Webtpa $35 - $48 39%
Western & Southern Financial Group $35 - $398 39%
Wps $35 - $398 39%
Andrie Inc $36 - $50 40%
East Greenbush Central School District $36 - $50 40%
Genex Wc $36 - $50 40%
Healthsmart Workers Comp $36 - $50 40%
Jag Source $36 - $50 40%
New York State Insurance Fund $36 - $50 40%
Njm Insurance Group $36 - $50 40%
Rx Heatlhcomp $36 - $50 40%
Rx Restat $36 - $50 40%
Rx Saif Opdp Wc $36 - $50 40%
Rx Worker'S Comp $36 - $50 40%
Us Health And Life $36 - $398 40%
Wc Ace $36 - $50 40%
Wc Acs Federal Employees $36 - $50 40%
Wc Acuity $36 - $50 40%
Wc Aegis $36 - $50 40%
Wc Aims $36 - $50 40%
Wc Alaska National Ins $36 - $50 40%
Wc Align Network $36 - $50 40%
Wc Am Trust N America $36 - $50 40%
Wc American Claims Mgmt $36 - $50 40%
Wc Benetech $36 - $50 40%
Wc Broward County $36 - $50 40%
Wc California State Comp Ins $36 - $50 40%
Wc California State Ins Fund $36 - $50 40%
Wc Capitol Area Health Consortium $36 - $50 40%
Wc Chartis $36 - $50 40%
Wc Chubb $36 - $50 40%
Wc Cirma $36 - $50 40%
Wc City Of Albany $36 - $50 40%
Wc City Of Sioux City $36 - $50 40%
Wc Claims Mgmt Inc $36 - $50 40%
Wc Cna $36 - $50 40%
Wc Comp One Admin C/O Manageability $36 - $50 40%
Wc Compone Admin $36 - $50 40%
Wc Corvel $36 - $50 40%
Wc Ct Healthcare Trust $36 - $50 40%
Wc Donegal Insurance Group $36 - $50 40%
Wc Employee Mutual $36 - $50 40%
Wc Enablecomp $36 - $50 40%
Wc Encore Health Network $36 - $50 40%
Wc Erie $36 - $50 40%
Wc Evolutions $36 - $50 40%
Wc Fed Ex $36 - $50 40%
Wc Federal Black Lung $36 - $50 40%
Wc Finley Occupational Health $36 - $50 40%
Wc First Agency/Occunet $36 - $50 40%
Wc Ford Motor $36 - $50 40%
Wc Fresno Unified Emp $36 - $50 40%
Wc General Motors $36 - $50 40%
Wc Generic $36 - $50 40%
Wc Great West Casualty $36 - $50 40%
Wc Guarantee Insurance $36 - $50 40%
Wc Hab $36 - $50 40%
Wc Hastings $36 - $50 40%
Wc Health Management $36 - $50 40%
Wc Heritage Summit $36 - $50 40%
Wc Hireright $36 - $50 40%
Wc Horizon $36 - $50 40%
Wc Icw Group $36 - $50 40%
Wc Idaho State Ins Fund $36 - $50 40%
Wc Intercare Insurance $36 - $50 40%
Wc Intermountain $36 - $50 40%
Wc Johns Eastern $36 - $50 40%
Wc Kemberton $36 - $50 40%
Wc Key Ins & Benefit Solutions $36 - $50 40%
Wc Mac Risk Management $36 - $50 40%
Wc Massachusetts $36 - $50 40%
Wc Mdia $36 - $50 40%
Wc Meadowbrook Claim $36 - $50 40%
Wc Medical Administrators $36 - $50 40%
Wc Memic $36 - $50 40%
Wc Mercy Workcare $36 - $50 40%
Wc Michigan Millers Mutual $36 - $50 40%
Wc Mra $36 - $50 40%
Wc Nationwide $36 - $50 40%
Wc Nca Comp $36 - $50 40%
Wc New York $36 - $50 40%
Wc New York Special Funds $36 - $50 40%
Wc North American Rishces $36 - $50 40%
Wc Northeast Health $36 - $50 40%
Wc Notre Dame $36 - $50 40%
Wc Novanet $36 - $50 40%
Wc O'Hara Corp $36 - $50 40%
Wc Occ Health Allen $36 - $50 40%
Wc Ohio Bureau $36 - $50 40%
Wc One Call Medical $36 - $50 40%
Wc Paradigm $36 - $50 40%
Wc Peerless $36 - $50 40%
Wc Praxis Health Network $36 - $50 40%
Wc Price Chopper $36 - $50 40%
Wc Procura Management $36 - $50 40%
Wc Qualcare $36 - $50 40%
Wc Quiktrip $36 - $50 40%
Wc Reny Company $36 - $50 40%
Wc Rev Claims $36 - $50 40%
Wc Risico $36 - $50 40%
Wc Rural Mutual $36 - $50 40%
Wc Saif Oregon $36 - $50 40%
Wc Secura $36 - $50 40%
Wc Sheakley Unicomp $36 - $50 40%
Wc Smile Lodge $36 - $50 40%
Wc Society $36 - $50 40%
Wc Srs $36 - $50 40%
Wc Taconic (Mro) $36 - $50 40%
Wc Taconic Farms $36 - $50 40%
Wc Triad Group $36 - $50 40%
Wc Troy Ny $36 - $50 40%
Wc Tyson $36 - $50 40%
Wc Unified Health Services $36 - $50 40%
Wc United Heartland $36 - $50 40%
Wc Us Dept Of Labor $36 - $50 40%
Wc Velocity $36 - $50 40%
Wc West Bend $36 - $50 40%
Wc West Bend Mutual/Argent $36 - $50 40%
Wc Winnebago Industries $36 - $50 40%
Wc Yankee Trails $36 - $50 40%
Wc York Risk $36 - $50 40%
Wc Zenith $36 - $50 40%
Meritain $37 - $354 42%
Claimdoc $38 - $52 43%
Kent County Jail $38 - $52 43%
Muskegon County Jail $38 - $52 43%
American Postal Workers Secondary $39 - $53 44%
Blue Care Network $40 - $380 45%
Blue Benefit Administrators Of Massachusetts $41 - $380 46%
Blue Distinction Transplant $41 - $380 46%
Blue Shield - Ca $41 - $380 46%
Blue Shield - Id (Regence) $41 - $380 46%
Blue Shield - Ny Highmark Northeastern $41 - $380 46%
Blue Shield - Ny Highmark Western $41 - $380 46%
Blue Shield - Pa (Highmark) $41 - $380 46%
Blue Shield - Wa (Regence) $41 - $380 46%
Priority Health $41 - $401 46%
Varipro $41 - $409 46%
Nomi Health $49 - $249 55%
Bcccp-Michigan $61 - $83 69%
U Of M Health Plan $61 - $398 69%
Blue Care Network Advantage $73 - $109 82%
Correctional Recovery $74 - $111 83%
Vitalcore $99 - $148 111%
Hospice Of Michigan $163 - $245 183%
Bcn Domestic $253 - $380 285%
Kaiser Domestic $253 - $380 285%
Ghc Scw $255 - $383 287%
Medi Share $255 - $383 287%
Paramount Hmo $255 - $383 287%
Caresource $264 - $397 297%

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