CMS Price Transparency Data

X-ray, shoulder

Facility: Stevens Community Medical Center Inc

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $126
Cash Discount Price: $249
vs. Medicare Baseline: 1.42x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Stevens Community Medical Center Inc is $126. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $249. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.42x the Medicare baseline. Located in 400 East First Street, Morris, MN.

Cash / Self-Pay

$249

Average discount available for prompt cash payment at this facility.

Insurance Median

$126

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: $249 (280%)

Insurance Median: $126 (142%)

Cash: $249 (280% of Medicare)

Ins. Median: $126 (142% 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
Humana	$9 - $129	10%
Triwest - All Plans	$9 - $128	10%
Medica Mcr Adv Mayo	$10 - $126	11%
UnitedHealthcare	$11 - $263	12%
Medica Mcaid Mn Care	$21 - $141	24%
Medica Ifb	$33 - $221	37%
Medica Comm - All Other Plans	$39 - $262	44%
Hpi Health Partners - All Plans	$53	60%
Blue Cross Blue Shield	$90 - $210	101%

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 $249.
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 Stevens Community Medical Center Inc 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.