CMS Price Transparency Data

X-ray, shoulder

Facility: Central Montana Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $118
Cash Discount Price: $156
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Central Montana Medical Center is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $156. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.33x the Medicare baseline. Located in 408 Wendell Ave, Lewistown, MT.

Cash / Self-Pay

$156

Average discount available for prompt cash payment at this facility.

Insurance Median

$118

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: $156 (175%)

Insurance Median: $118 (133%)

Cash: $156 (175% of Medicare)

Ins. Median: $118 (133% 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
Blue Cross Blue Shield	$9 - $297	10%
Humana	$9 - $178	10%
Triwest - All Plans	$9 - $175	10%
Veterans Affairs - All Plans	$9 - $175	10%
Allegiance Comm - All Other Plans	$15 - $317	17%
Allegiance Rbphp	$15 - $597	17%
Montana Health Co-Op - All Plans	$15 - $320	17%
Ebms - All Plans	$16 - $314	18%
Health Infonet - All Plans	$16 - $317	18%
Coventry/First Health - All Plans	$307	345%
UnitedHealthcare	$307	345%
Interwest Ppo	$323	363%
Pacific Source Hp - All Plans	$323	363%
Interwest Trad - All Other Plans	$330	371%

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 $156.
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 Central Montana Medical Center 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.