CMS Price Transparency Data

X-ray, shoulder

Facility: Upper Connecticut Valley Hospital

Billing Code: 73030 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$137
about 1.5× the $89 Medicare rate · typically $44–$240
modeled estimate · not a bill or quote
Medicare pays $89 Fair price $137 Cash price $229 Hospital's list price $413

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $231 - $375 260%
Blue Cross Blue Shieldmajor $343 - $366 386%
Aetnamajor $227 255%
Harvard Pilgrim $282 317%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 181 Corliss Lane, Colebrook, NH 03576
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals