CMS Price Transparency Data

X-ray, shoulder

Facility: University Hospitals Conneaut Medical Center

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 University Hospitals Conneaut Medical Center 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 158 West Main Road, Conneaut, 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 - $327 75%
University Health Employee Plan (Contigo) $88 99%
Blue Cross Blue Shield $184 - $592 207%
Cigna $184 - $436 207%
Devoted $184 207%
Humana $184 207%
Medical Mutual Of Ohio $184 - $558 207%
Molina $184 207%
Primetime Health Plan $184 207%
Summacare $184 - $302 207%
The Health Plan $184 - $391 207%
UnitedHealthcare $184 - $504 207%
Wellcare By Allwell $184 207%
Paramount $189 213%
Perennial Advantage Of Ohio $193 217%
Valor Health Plans $193 217%
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%
Ambetter / Centene $330 371%
Caresource $330 371%
Healthsmart $385 433%
Ohio Health Choice $385 - $533 433%
Medical Mutual Traditional/Health Ohio $414 466%
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: 158 West Main Road, Conneaut, OH 44030
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals