CMS Price Transparency Data

X-ray, shoulder

Facility: Moberly Regional Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $398
  • Cash Discount Price: $478
  • vs. Medicare Baseline: 4.48x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Moberly Regional Medical Center is $398. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $478. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.48x the Medicare baseline. Located in 1515 Union Ave, Moberly, MO.
Cash / Self-Pay
$478

Average discount available for prompt cash payment at this facility.

Insurance Median
$398

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: $478 (538%)
Insurance Median: $398 (448%)
Cash: $478 (538% of Medicare)
Ins. Median: $398 (448% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 448% of the Medicare baseline (a markup of 348%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $75 - $124 84%
Veterans Eval Services $76 85%
Tricare $88 99%
Medicare (plans) $92 103%
Node Va $93 105%
UnitedHealthcare $93 - $976 105%
Blue Cross Blue Shield $94 - $454 106%
Node Devoted Health Mcr Adv $96 108%
Centurion Correctional $117 132%
Corizon $117 132%
Us Department Of Labor $117 132%
Home State Health Plan $124 - $173 139%
Pathway/Pathway X $131 147%
Healthscope Benefits $157 177%
Naphcare $177 199%
Blue Preferred $181 204%
United Behavioral Health Mcd $255 287%
Self Pay $344 - $612 387%
Cigna $398 448%
Blue Access $431 485%
Access Health Services, Llc $829 932%
Aetna $839 - $1,020 944%
Healthlink $893 - $1,020 1004%
Blue Traditional $912 - $954 1026%
Multiplan Primary $957 1076%
Coventry Wc $1,020 1147%
Multiplan $1,033 1162%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Union Ave, Moberly, MO 65270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals