CMS Price Transparency Data

X-ray, shoulder

Facility: Cheshire Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $92
Cash Discount Price: $113
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Cheshire Medical Center is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.03x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$113

Average discount available for prompt cash payment at this facility.

Insurance Median

$92

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: $113 (127%)

Insurance Median: $92 (103%)

Cash: $113 (127% of Medicare)

Ins. Median: $92 (103% 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
Aetna	$9 - $455	10%
Ambetter / Centene	$10 - $82	11%
Blue Cross Blue Shield	$10 - $528	11%
Cigna	$10 - $530	11%
Martin'S Point Generations Advantage	$10 - $92	11%
Martin'S Point Health Care	$10 - $92	11%
Mvp	$10 - $530	11%
UnitedHealthcare	$10 - $505	11%
Wellcare Health Plans	$10 - $92	11%
Wellsense Health Plan	$10 - $98	11%
Amerihealth Caritas Nh	$16 - $81	18%
Granite State Health Plan	$16 - $111	18%
Mass General Brigham Health Plan	$24 - $665	27%
Tufts Health Plan	$26 - $424	29%
Harvard Pilgrim Health Care Of Ne	$32 - $302	36%
Maine Community Health Options	$68 - $299	76%
First Health/Hcvm	$129 - $565	145%
Phcs	$137 - $598	154%

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 $113.
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 Cheshire 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.