CMS Price Transparency Data

X-ray, shoulder

Facility: Neshoba County General Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $84
  • Cash Discount Price: $94
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Neshoba County General Hospital is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.94x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$94

Average discount available for prompt cash payment at this facility.

Insurance Median
$84

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: $94 (106%)
Insurance Median: $84 (94%)
Cash: $94 (106% of Medicare)
Ins. Median: $84 (94% 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
Aetna $36 - $106 40%
Cigna $46 - $138 52%
Affordable Health Care-All Plans $60 - $181 67%
Health Choice Ip/Op Only-All Plans $60 - $181 67%
Health Link Ip/Op Only-All Plans $60 - $181 67%
Geha-All Plans $64 - $192 72%
Magnolia Mcaid $64 72%
Molina Mcaid $64 72%
Mpcn Mcaid $64 72%
Multiplan-All Plans $64 - $192 72%
UnitedHealthcare $64 - $239 72%
Tricare $72 81%
Humana $80 90%
Magnolia Mcr Adv-All Other Plans $80 90%
Molina Comm-All Other Plans $80 90%
Molina Mcr Adv $80 90%
Wellcare Mcr Adv-All Plans $80 90%
Mpcn Ip/Op Only-All Other Plans $89 - $266 100%
First Choice Comm Ip/Op Only - All Plans $100 112%
Ahs Ip/Op Only-All Plans $141 159%
Blue Cross Blue Shield $146 164%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL