CMS Price Transparency Data

X-ray, shoulder

Facility: Stillwater Billings Clinic

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $43
  • Cash Discount Price: $167
  • vs. Medicare Baseline: 0.48x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Stillwater Billings Clinic is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $167. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.48x the Medicare baseline. Located in 710 N 11Th St, Columbus, MT.
Cash / Self-Pay
$167

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

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: $167 (188%)
Insurance Median: $43 (48%)
Cash: $167 (188% of Medicare)
Ins. Median: $43 (48% 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
Blue Cross Blue Shield $9 - $290 10%
Humana $9 - $209 10%
Pacific Source Mcr Advantage $9 - $207 10%
Tricare $9 - $207 10%
Allegiance Direct Ppo - All Other Plans $14 - $290 16%
Allegiance State Of Mt $14 - $427 16%
All Savers-All Plans $15 - $290 17%
UnitedHealthcare $15 - $290 17%
Aetna $16 - $296 18%
Boon Chapman First Choice Health $16 - $296 18%
Cigna $16 - $290 18%
Ebms First Choice Health $16 - $296 18%
First Choice- All Plans $16 - $296 18%
Mountain Health Coop - All Plans $16 - $281 18%
Pacific Source Billings Clinic $16 - $229 18%
Pacific Source Voyager - All Other Plans $16 - $290 18%
Pacificsource Nav $16 - $290 18%
Rci First Choice Health - All Other Plans $16 - $296 18%
Rci Wyoben $16 - $274 18%
Trustmark First Choice Health $16 - $296 18%
Wyo-Ben Inc- All Plans $16 - $274 18%
Zenith First Choice Health- All Plans $16 - $296 18%
Pacific Steel Direct - All Plans $17 - $214 19%
Ebms Interwest $24 - $290 27%
Gpa Interwest- All Plans $24 - $290 27%
Interwest Health-All Plans $24 - $290 27%
Rci Interwest $24 - $290 27%
Allied Core Value $25 - $265 28%
Ebms Town Pump $26 - $290 29%
Town Pump Inc- All Plans $26 - $290 29%
Blackhawk - All Plans $28 - $290 31%
Mtada- All Plans $28 - $290 31%
Murdoch Oil - All Plans $28 - $296 31%
Prodegi (Y-Tex Corp)- All Plans $28 - $290 31%
Ryegate Public Schools - All Plans $28 - $296 31%
Savatree - All Plans $28 - $296 31%
Tabs - All Plans $28 - $296 31%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 710 N 11Th St, Columbus, MT 59019
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals