CMS Price Transparency Data

X-ray, shoulder

Facility: Montefiore New Rochelle Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $104
  • Cash Discount Price: $232
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Montefiore New Rochelle Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $232. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.17x the Medicare baseline. Located in 16 Guion Place, New Rochelle, NY.
Cash / Self-Pay
$232

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $232 (261%)
Insurance Median: $104 (117%)
Cash: $232 (261% of Medicare)
Ins. Median: $104 (117% 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
Amidacare $15 - $109 17%
Emblem $15 - $286 17%
Empire $15 - $286 17%
Fidelis $15 - $104 17%
Medicaid / KanCare $15 17%
Metroplus $15 - $135 17%
Molina Healthcare Of Ny Affinity $15 - $144 17%
Mvp $15 - $213 17%
UnitedHealthcare $15 - $182 17%
Wellcare $15 - $106 17%
Hamaspik $16 - $113 18%
Vnsny Choice $17 - $104 19%
Vnsny Select Health $17 19%
Healthfirst $26 - $104 29%
Villagecaremax $104 117%
Centerlight $107 120%
Partners_Health_Plan $109 123%
Humana $115 129%
Aetna $130 - $146 146%
Oscar $165 186%
Cigna $190 214%
Centivo $225 253%
Northwell $280 315%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16 Guion Place, New Rochelle, NY 10802
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals