CMS Price Transparency Data

X-ray, shoulder

Facility: Mercy Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $51
  • Cash Discount Price: $365
  • vs. Medicare Baseline: 0.57x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Mercy Medical Center is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $365. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.57x the Medicare baseline. Located in 1320 Mercy Drive Nw, Canton, OH.
Cash / Self-Pay
$365

Average discount available for prompt cash payment at this facility.

Insurance Median
$51

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: $365 (411%)
Insurance Median: $51 (57%)
Cash: $365 (411% of Medicare)
Ins. Median: $51 (57% 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
Summacare $6 - $448 7%
Aetna $9 - $640 10%
Blue Cross Blue Shield $9 - $360 10%
Cigna $9 - $84 10%
Communicare $9 - $85 10%
Humana $9 - $81 10%
Mmo $9 - $448 10%
Perennial Health $9 - $88 10%
The Health Plan $9 - $562 10%
United $9 - $182 10%
Zing Health $9 - $89 10%
Aultcare $10 - $230 11%
Oscar $21 - $216 24%
Buckeye $24 - $47 27%
Caresource $24 - $47 27%
Amerihealth $25 - $51 28%
Molina $25 - $48 28%
Ohcp $30 - $273 34%
Omas $39 - $320 44%
Phphi $47 - $384 53%
Gms $55 - $448 62%
Immergrun $58 - $480 65%
Multiplan $70 - $576 79%
Cc Ehp $224 - $228 252%
Amish Community Aid Plan $253 - $281 285%
Ohio Healthy $303 341%
Php $337 379%
Medical Benefit Corp $393 442%
Consociate Health $422 475%
Frontpath $506 569%
Managed Care Services $506 569%
Tertiary Care Network $506 569%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1320 Mercy Drive Nw, Canton, OH 44708
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals