CMS Price Transparency Data

X-ray, shoulder

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $47
  • Cash Discount Price: $89
  • vs. Medicare Baseline: 0.53x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Cincinnati Children's Hospital Medical Center is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.53x the Medicare baseline. Located in 3333 Burnet Avenue, Cincinnati, OH.
Cash / Self-Pay
$89

Average discount available for prompt cash payment at this facility.

Insurance Median
$47

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: $89 (100%)
Insurance Median: $47 (53%)
Cash: $89 (100% of Medicare)
Ins. Median: $47 (53% 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
Aetna $6 - $279 7%
Blue Cross Blue Shield $6 - $289 7%
Caresource_In $6 - $20 7%
Humana $6 - $89 7%
Mhs_In $6 - $19 7%
Passport_Ky $6 - $76 7%
United_Health_Care_Ky $6 - $78 7%
Wellcare_Ky $6 - $77 7%
Caresource_Oh $12 - $85 13%
Amerihealth_Caritas_Oh $13 - $92 15%
Buckeye_Oh $13 - $97 15%
Molina_Oh $13 - $93 15%
United_Health_Care_Oh $15 - $89 17%
Caresource_Oh_Insurance $27 - $141 30%
Medical_Mutual_Of_Ohio_Insurance $30 - $279 34%
Parkview_Signature_Care_Insurance $34 - $229 38%
Point_Comfort_Insurance $36 - $191 40%
Margaret_Mary_Health_Insurance $37 - $229 42%
United_Health_Care_Insurance $43 - $263 48%
Beechstreet_Insurance $45 - $288 51%
Cigna $45 - $279 51%
Health_Ohio_Network_Insurance $51 - $279 57%
Custom_Design_Benefits_Insurance $53 - $279 60%
Health_Smart_Preferred_Insurance $53 - $279 60%
Medical_Benefit_Administrators_Insurance $53 - $279 60%
Ohio_Health_Choice_Insurance $53 - $279 60%
Private_Health_Care_Systems_Insurance $54 - $282 61%
First_Health_Group_Insurance $55 - $288 62%
Health_Link_Insurance $55 - $288 62%
Evolutions_Health_Care_Systems $56 - $294 63%
Galaxy_Health_Insurance $56 - $294 63%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3333 Burnet Avenue, Cincinnati, OH 45229
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens