CMS Price Transparency Data

X-ray, shoulder

Facility: Memorial Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $81
Cash Discount Price: $277
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Memorial Hospital is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $277. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.91x the Medicare baseline. Located in 715 South Taft Avenue, Fremont, OH.

Cash / Self-Pay

$277

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: $277 (312%)

Insurance Median: $81 (91%)

Cash: $277 (312% 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.

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	$30 - $646	34%
Summacare	$30 - $358	34%
Blue Cross Blue Shield	$32 - $431	36%
Paramount Healthcare Inc	$32 - $239	36%
Buckeye Community Health Plan	$33 - $387	37%
Caresource	$33 - $155	37%
Frontpath	$33 - $260	37%
Health Alliance Plan	$33 - $404	37%
Humana	$33 - $525	37%
Molina Healthcare Of Ohio	$33 - $807	37%
UnitedHealthcare	$36 - $337	40%
Cigna	$37 - $371	42%
Health Ohio Network	$45 - $294	51%
Meridian Health Plan Of Mi	$48 - $525	54%
Amerihealth	$52 - $72	58%
Medical Mutual Of Ohio	$106 - $285	119%
Multiplan	$106 - $383	119%

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 $277.
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 Memorial Hospital 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.