CMS Price Transparency Data

X-ray, shoulder

Facility: Akron Children's Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $52
  • Cash Discount Price: $28
  • vs. Medicare Baseline: 0.58x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Akron Children's Hospital is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.58x the Medicare baseline. Located in 1 Perkins Square, Akron, OH.
Cash / Self-Pay
$28

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

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: $28 (31%)
Insurance Median: $52 (58%)
Cash: $28 (31% of Medicare)
Ins. Median: $52 (58% 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 $8 - $385 9%
Blue Cross Blue Shield $8 - $443 9%
Buckeye Community Health Plan $8 - $79 9%
Caresource $8 - $77 9%
Humana $8 - $417 9%
Molina $8 - $79 9%
UnitedHealthcare $8 - $385 9%
Amerihealth Caritas Ohio $9 - $81 10%
Mmo $14 - $442 16%
Autlcare $31 - $354 35%
Summacare $32 - $367 36%
Cigna $36 - $387 40%
Cenpatico $79 89%
Healthplan (Hometown) $152 171%
Northern Ohio Handicapped Fund (Nohf $161 181%
Ohio Crippled Childrens Fund (Occf $161 181%
Amish Church Fund $224 252%
Medben $340 382%
Summa Health Employee $349 393%
Summacare Preferred Choice Network $353 397%
The Health Plan (Mountaineer Region) $361 406%
Avita-Osu Health Plan $367 413%
The Health Plan (Fna Hometown Health Network) $376 423%
Healthsmart (Fna Emerald Health Network) $392 441%
Embs/Thomas Steel $394 443%
Ohio Health Choice $394 443%
Phcs/Multiplan $394 443%
Enterprise Group Planning $403 453%
Prime Health Services $403 453%
Primenet $403 453%
Quality Care Partners $403 453%
Beechstreet $417 469%
Ohio Preferred Network $417 469%
Paramount $417 469%
Cofinity $421 474%
Health Reach Ohio Health Group $421 474%
Direct Care America $426 479%
First Health Network $426 479%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Perkins Square, Akron, OH 44308
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens