CMS Price Transparency Data

X-ray, shoulder

Facility: Uhhs Memorial Hospital of Geneva

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $358
  • Cash Discount Price: $444
  • vs. Medicare Baseline: 4.03x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Uhhs Memorial Hospital of Geneva is $358. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $444. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.03x the Medicare baseline. Located in 870 West Main Street, Geneva, OH.
Cash / Self-Pay
$444

Average discount available for prompt cash payment at this facility.

Insurance Median
$358

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: $444 (499%)
Insurance Median: $358 (403%)
Cash: $444 (499% of Medicare)
Ins. Median: $358 (403% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 403% of the Medicare baseline (a markup of 303%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $67 - $211 75%
University Health Employee Plan (Contigo) $88 99%
Blue Cross Blue Shield $118 - $565 133%
Cigna $118 - $436 133%
Devoted Health $118 133%
Humana $118 133%
Medical Mutual Of Ohio $118 - $592 133%
Molina $118 133%
Primetime Health Plan $118 133%
Summacare $118 - $302 133%
The Health Plan $118 - $391 133%
UnitedHealthcare $118 - $545 133%
Wellcare By Allwell $118 133%
Paramount $122 137%
Perennial Advantage Of Ohio $124 139%
Valor Health Plans $124 139%
Ambetter / Centene $213 240%
Caresource $213 240%
Amish Aid Community Plan $272 306%
Amish Church Fund And Workers Aid Plan $272 306%
Buckeye Plain Ministries $272 306%
Jp Farley $278 313%
Clarity $284 319%
Christian Healthcare Ministries $296 333%
Immergrun $296 333%
Sunrise Plan Communities $296 333%
Aultcare $326 367%
Healthsmart $385 433%
Ohio Health Choice $385 - $533 433%
Beech Street $474 - $533 533%
Ohio Preferred Network $474 - $533 533%
First Health $491 552%
Century Health Network $503 566%
Private Healthcare System $509 572%
Configurenet $533 599%
Fortified Provider Network $533 599%
Multiplan $533 599%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 870 West Main Street, Geneva, OH 44041
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals