CMS Price Transparency Data

X-ray, shoulder

Facility: Cleveland Clinic

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $70
  • Cash Discount Price: $365
  • vs. Medicare Baseline: 0.79x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Cleveland Clinic is $70. 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 0.79x the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$365

Average discount available for prompt cash payment at this facility.

Insurance Median
$70

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: $70 (79%)
Cash: $365 (411% of Medicare)
Ins. Median: $70 (79% 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 - $268 7%
Aetna $9 - $640 10%
Blue Cross Blue Shield $9 - $477 10%
Cigna $9 - $512 10%
Communicare $9 - $86 10%
Devoted Health $9 - $82 10%
Humana $9 - $478 10%
Perennial Health $9 - $88 10%
Pphp $9 - $90 10%
The Health Plan $9 - $352 10%
United $9 - $182 10%
UnitedHealthcare $9 - $410 10%
Upmc $9 - $384 10%
Valor $9 - $82 10%
Zing Health $9 - $90 10%
Cc Ehp $16 - $351 18%
Oscar $21 - $216 24%
Buckeye $24 - $62 27%
Caresource $24 - $59 27%
Paramount $24 - $61 27%
Amerihealth $25 28%
Molina $25 - $62 28%
Mmo $28 - $448 31%
Ohcp $30 - $273 34%
Ohio Healthy $31 - $393 35%
Aultcare $34 - $275 38%
Amish Community Aid Plan $35 - $288 39%
Omas $39 - $320 44%
Healthsmart $43 - $352 48%
Phphi $47 - $384 53%
Clarity Health $51 - $416 57%
Gms $55 - $448 62%
Quality Care Partners $55 - $448 62%
Consociate Health $58 - $480 65%
United Bh $65 73%
Multiplan $70 - $576 79%
Three Rivers $70 - $576 79%
Usa Managed Care $70 - $576 79%
Php $337 379%
Medical Benefit Corp $393 442%
Parkview Health Plan $393 442%
Community Health Alliance $450 506%
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: 9500 Euclid Avenue, Cleveland, OH 44195
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals