CMS Price Transparency Data

X-ray, shoulder

Facility: Charlevoix Area Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $57
Cash Discount Price: $163
vs. Medicare Baseline: 0.64x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Charlevoix Area Hospital is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $163. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.64x the Medicare baseline. Located in 14700 Lakeshore Drive, Charlevoix, MI.

Cash / Self-Pay

$163

Average discount available for prompt cash payment at this facility.

Insurance Median

$57

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: $163 (183%)

Insurance Median: $57 (64%)

Cash: $163 (183% of Medicare)

Ins. Median: $57 (64% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$6 - $177	7%
Mclaren Health Plan	$6 - $179	7%
Meridian	$6 - $61	7%
Priority Health	$6 - $192	7%
UnitedHealthcare	$6 - $167	7%
Aetna	$9 - $173	10%
Blue Care Network	$9 - $90	10%
Hap (Health Alliance Plan)	$9 - $154	10%
Medicare (plans)	$9 - $90	10%
Michigan Amish Medical Board	$9 - $90	10%
Molina	$9 - $97	10%
Northern Michigan Mennonite Group	$9 - $90	10%
Asr Physicians Care Network	$13 - $154	15%
Cigna	$14 - $192	16%
Nomi Health	$14 - $179	16%
Employee Benefits Logistics	$15 - $153	17%
Hospice Of Michigan	$115	129%
Provider Network Of America/Hma Group Health	$122 - $163	137%
Enterprise Group Planning Employee Benefit Plan	$154	173%
First Health/Coventry Health/Community Care Network	$154	173%
Medical Cost Savings Solution	$154	173%
Three Rivers Provider Network	$163	183%
Iba Health And Life Assurance Company	$177	199%
Cofinity	$179	201%
Preferred Medical Claim Solutions	$182	205%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $163.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73030.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Charlevoix Area Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73030.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.