CMS Price Transparency Data

X-ray, shoulder

Facility: M Health Fairview University of Mn Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $67
Cash Discount Price: $149
vs. Medicare Baseline: 0.75x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at M Health Fairview University of Mn Medical Center is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $149. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.75x the Medicare baseline. Located in 2450 Riverside Avenue, Minneapolis, MN.

Cash / Self-Pay

$149

Average discount available for prompt cash payment at this facility.

Insurance Median

$67

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: $149 (168%)

Insurance Median: $67 (75%)

Cash: $149 (168% of Medicare)

Ins. Median: $67 (75% 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
Health Partners	$6 - $267	7%
Itasca Medical Care	$6 - $88	7%
Primewest	$6 - $88	7%
South Country Health Alliance	$6 - $88	7%
Ucare	$6 - $201	7%
Blue Cross Blue Shield	$7 - $174	8%
Hennepin Health	$7 - $89	8%
Medica	$7 - $118	8%
Sanford Health Plan	$8 - $328	9%
Security Health Plan	$8 - $417	9%
UnitedHealthcare	$8 - $317	9%
Wellcare	$8 - $88	9%
Cigna	$18 - $312	20%
Emerging Therapies	$20 - $356	22%
Humana	$21 - $362	24%
Aetna	$22 - $378	25%
America'S Ppo	$24 - $401	27%
Interlink	$24 - $417	27%
First Health	$26 - $456	29%
Multiplan	$27 - $473	30%
Private Healthcare Systems	$27 - $473	30%
Wisconsin Physician Services	$29 - $501	33%

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 $149.
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 M Health Fairview University of Mn Medical Center 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.