CMS Price Transparency Data

X-ray, shoulder

Facility: Mount Carmel New Albany Surgical Hospital

Billing Code: 73030 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$121
about 1.4× the $89 Medicare rate · typically $55–$303
modeled estimate · not a bill or quote
What this hospital charges insurers
$313
Well above the fair price
about $192 over the fair price · 3.5× Medicare
Medicare pays $89 Fair price $121 This hospital $313 Hospital's list price $497

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $31 Priciest $313

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, shoulder is about $121 (about 1.4× the $89 Medicare rate). Mount Carmel New Albany Surgical Hospital charges insurers about $313 — well above the fair price. Located in New Albany, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $121. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $84 - $19,758 94%
Blue Cross Blue Shieldmajor $82 - $63,065 92%
Aetnamajor $82 - $17,397 92%
Cignamajor $172 193%
Humanamajor $203 - $596 228%
AmeriHealth $185 - $278 208%
CareSource $290 - $435 326%
GEHA $178 - $19,758 200%
HealthLink $298 - $447 335%
HealthPartners $172 193%
MagnaCare $185 - $278 208%
Medical Mutual $206 - $60,153 232%
MVP Health Care $172 193%
Oscar Health $84 - $27,896 94%
Priority Health $172 193%
Sentara $397 - $596 447%
UniCare $185 - $278 208%
+ 90 smaller / regional plans $84 - $63,065
Government programs also on file: Medicare, Medicaid.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 7333 Smith's Mill Road, New Albany, OH 43054
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals