CMS Price Transparency Data

X-ray, shoulder

Facility: Stanly Regional Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $81
  • Cash Discount Price: $279
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Stanly Regional Medical Center is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $279. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.91x the Medicare baseline. Located in 301 Yadkin St, Albemarle, NC.
Cash / Self-Pay
$279

Average discount available for prompt cash payment at this facility.

Insurance Median
$81

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: $279 (314%)
Insurance Median: $81 (91%)
Cash: $279 (314% of Medicare)
Ins. Median: $81 (91% 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
Alliance $8 - $69 9%
Amerihealth Caritas $8 - $68 9%
Carolina Complete Health $8 - $68 9%
Cigna $8 - $447 9%
Healthy Blue $8 - $68 9%
Partners $8 - $67 9%
Trillium $8 - $70 9%
UnitedHealthcare $8 - $378 9%
Vaya $8 - $68 9%
Wellcare $8 - $68 9%
Aetna $9 - $503 10%
Humana $9 - $85 10%
Ambetter / Centene $38 - $208 43%
Choicecare $43 - $525 48%
Medcost $50 - $536 56%
Blue Cross Blue Shield $54 - $288 61%
Employers Health Network $247 - $323 278%
Physician Reach Out $279 314%
Magellan $335 377%
Gmmi $363 408%
Quik Trip $363 408%
Carolina Behavioral Health $402 - $447 452%
First Health $503 566%
Healthgram $503 566%
Lifesynch Community Choice Care $525 590%
Multiplan $525 590%
Private Health Care Systems $525 590%
Beechstreet $536 603%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 Yadkin St, Albemarle, NC 28001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals