CMS Price Transparency Data

X-ray, shoulder

Facility: Ste Genevieve County Memorial Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $90
Cash Discount Price: $95
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Ste Genevieve County Memorial Hospital is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.01x the Medicare baseline. Located in Hwys 61 & 32, Sainte Genevieve, MO.

Cash / Self-Pay

$95

Average discount available for prompt cash payment at this facility.

Insurance Median

$90

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: $95 (107%)

Insurance Median: $90 (101%)

Cash: $95 (107% of Medicare)

Ins. Median: $90 (101% 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	$5 - $278	6%
Allwell	$5 - $92	6%
Blue Cross Blue Shield	$5 - $267	6%
Medicare (plans)	$5 - $90	6%
Va	$5 - $90	6%
Ambetter / Centene	$6 - $113	7%
Pphp	$6 - $104	7%
Meritain	$15 - $278	17%
Multiplan/Phcs	$17 - $307	19%
Medicaid / KanCare	$19	21%
Homestate	$20	22%
Healthy_Blue	$23	26%
Uhc_Community	$23	26%
Healthlink_Hmo	$75 - $94	84%
Healthlink_Compmanagement	$80 - $101	90%
Healthlink_Ppo	$80 - $101	90%
UnitedHealthcare	$180 - $452	202%
Cigna	$296	333%

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 $95.
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 Ste Genevieve County Memorial 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.