CMS Price Transparency Data

X-ray, shoulder

Facility: Ohio Valley Surgical Hospital

Billing Code: 73030 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$242

about 2.7× the $89 Medicare rate · typically $54–$3,503

modeled estimate · not a bill or quote

What this hospital charges insurers

$251

About the fair price

about $9 over the fair price · 2.8× Medicare

Medicare pays $89 Fair price $242 This hospital $251 Cash price $239 Hospital's list price $398

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 $251

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 $242 (about 2.7× the $89 Medicare rate). Ohio Valley Surgical Hospital charges insurers about $251, or about $239 in cash — about the fair price. Located in Springfield, OH.

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 - $23,746	94%
Blue Cross Blue Shieldmajor	$84 - $54,455	94%
Aetnamajor	$39 - $25,776	44%
Cignamajor	$84 - $24,842	94%
Humanamajor	$84 - $14,698	94%
AmeriHealth	$4,542	5109%
CareSource	$126 - $24,093	142%
Devoted Health	$98 - $16,902	110%
GEHA	$39 - $25,776	44%
Medica	$132 - $23,746	148%
Molina	$84 - $16,062	94%
UniCare	$84 - $16,062	94%
WellCare	$84 - $16,062	94%
+ 41 smaller / regional plans	$39 - $25,776

Government programs also on file: Medicare, Medicaid.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 239), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73030.

Insurance Before you use insurance

Call your insurance company to confirm Ohio Valley Surgical Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 73030.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Ohio Valley Surgical Hospital

Compare: X-ray, shoulder at other OH hospitals

Insurance negotiated median for the same procedure, sorted lowest first.