CMS Price Transparency Data

X-ray, shoulder

Facility: Mary Free Bed Rehabilitation Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $46
Cash Discount Price: $186
vs. Medicare Baseline: 0.52x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Mary Free Bed Rehabilitation Hospital is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $186. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.52x the Medicare baseline. Located in 235 Wealthy St Se, Grand Rapids, MI.

Cash / Self-Pay

$186

Average discount available for prompt cash payment at this facility.

Insurance Median

$46

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: $186 (209%)

Insurance Median: $46 (52%)

Cash: $186 (209% of Medicare)

Ins. Median: $46 (52% 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
Aetna	$22 - $322	25%
Blue_Cross_Blue_Shield_Of_Michigan	$22 - $375	25%
Healthplus_Partners	$22	25%
Mclaren_Health_Plan_Inc	$22 - $269	25%
Meridian_Health_Plan	$22 - $33	25%
Midwest_Health_Plan	$22	25%
Molina_Healthcare	$22 - $33	25%
Priority_Health	$22 - $33	25%
United_Healthcare	$22 - $39	25%
Health_Alliance_Plan_(Hap)	$33	37%
Humana	$33 - $37	37%
University_Of_Michigan_Health_Plan	$33 - $332	37%
Cigna	$42 - $408	47%
Asr	$43 - $77	48%
Multiplan	$48 - $394	54%
Three_Rivers_Provider_Network_Trpn	$49 - $392	55%

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 $186.
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 Mary Free Bed Rehabilitation 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.