CMS Price Transparency Data

X-ray, shoulder

Facility: Merit Health Central

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $127
  • Cash Discount Price: $268
  • vs. Medicare Baseline: 1.43x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Merit Health Central is $127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $268. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.43x the Medicare baseline. Located in 1850 Chadwick Dr, Jackson, MS.
Cash / Self-Pay
$268

Average discount available for prompt cash payment at this facility.

Insurance Median
$127

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: $268 (301%)
Insurance Median: $127 (143%)
Cash: $268 (301% of Medicare)
Ins. Median: $127 (143% 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.

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
Cigna $4 - $466 4%
UnitedHealthcare $5 - $501 6%
Self Pay $6 - $591 7%
Trimed Billing Solutions $7 - $710 8%
Ms State Hospital Of Whitfield $8 - $899 9%
First Choice Ppo Plus $10 - $1,064 11%
First Choice Standard $10 - $1,088 11%
First Choice Mpcn Standard $12 - $1,301 13%
Hinds County Prisoners $12 - $1,301 13%
Aetna $15 - $1,656 17%
Benefit Management Systems $16 - $2,010 18%
Citizens State Bank Inc $16 - $2,010 18%
First Choice Stratose $18 - $1,892 20%
Prime Health Services $18 - $1,892 20%
American Health Group $19 - $2,010 21%
Beech Street $19 - $2,010 21%
One Health Plan $20 - $2,128 22%
Medicaid / KanCare $21 - $361 24%
Ms Dept Of Rehabilitation Services $22 - $2,365 25%
Veterans Eval Services $22 - $75 25%
Prime Work Comp $44 49%
Ms Work Comp $45 51%
Caresource Truecare $68 76%
Magnolia Mcd Ms Chip $68 76%
Molina Chip $72 81%
Tricare $75 84%
Humana $77 87%
Medicare (plans) $77 87%
Node First Choice Shared Health Of Ms Mcr Adv $77 87%
Node Vantage Health Mcr Adv $77 87%
Node Magnolia Mcr Adv $78 88%
Molina $79 89%
Node Champva $79 89%
Node Devoted Health Mcr Adv $79 89%
Node First Choice American Health Of Ms Mcr Adv $79 89%
Node Hospice Non Par Agree $79 89%
Node Va $79 89%
Node First Choice Wellcare Mcr Adv $80 90%
Node Healthy Mississippi Mcr Adv $86 97%
Node Us Dept Of Labor $98 110%
First Choice Preferred $118 133%
Occunet $118 133%
Molina Exchange $127 143%
Advanced Health Systems $129 145%
Seven Corners $134 151%
Magnolia Exchange $138 155%
Blue Cross Blue Shield $166 187%
First Choice Lgp $171 192%
Vantage Health Commercial $177 199%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1850 Chadwick Dr, Jackson, MS 39204
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals