CMS Price Transparency Data

X-ray, shoulder

Facility: Hillcrest Hospital Cushing

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $656
  • Cash Discount Price: $336
  • vs. Medicare Baseline: 7.38x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Hillcrest Hospital Cushing is $656. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $336. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.38x the Medicare baseline. Located in 1027 East Cherry Street, Cushing, OK.
Cash / Self-Pay
$336

Average discount available for prompt cash payment at this facility.

Insurance Median
$656

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: $336 (378%)
Insurance Median: $656 (738%)
Cash: $336 (378% of Medicare)
Ins. Median: $656 (738% 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 738% of the Medicare baseline (a markup of 638%). 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
Black Lung [6055] $224 - $336 252%
Healthcare Highways [2210] $224 - $401 252%
Hooray Health [8000] $224 - $336 252%
Lucent Health [6000] $224 - $336 252%
Oncology Patient Assistance Programs [2295] $224 - $336 252%
Oscar Insurance Company [7005] $224 - $336 252%
Healthscope Benefits [2290] $243 - $365 273%
UnitedHealthcare $243 - $665 273%
Web Tpa [2115] $268 - $589 301%
Aetna $393 - $589 442%
Coresource [1315] $393 - $589 442%
Coventry Healthcare [1320] $393 - $589 442%
Meritain Health [1655] $393 - $589 442%
Cigna $438 - $656 493%
Healthpartners [1500] $438 - $656 493%
National Association Of Letter Carriers [1695] $438 - $656 493%
Pba [1775] $438 - $656 493%
Global Health [1430] $555 - $832 624%
First Health [1375] $620 - $1,181 697%
Multiplan [1680] $620 - $1,181 697%
Healthcare Solutions [1485] $635 - $953 714%
Community Care [1290] $743 - $1,114 836%
Fmh Benefit Services [1390] $743 - $1,114 836%
Group Resources [1455] $743 - $1,114 836%
Phcs [1780] $743 - $1,181 836%
Healthsmart [1505] $761 - $1,141 856%
Administrative Concepts [1005] $788 - $1,181 886%
Allied Benefit Systems Inc [1030] $788 - $1,181 886%
Allied National Global Care [1035] $788 - $1,181 886%
Gilsbar [1425] $788 - $1,181 886%
Healthnet [1495] $788 - $1,181 886%
Mutual Of Omaha [1685] $788 - $1,181 886%
New Era Life Insurance Company [1705] $788 - $1,181 886%
Pan American Life Insurance Co [1770] $788 - $1,181 886%
Trustmark [2030] $788 - $1,181 886%
Universal Fidelity [2085] $788 - $1,181 886%
Pending Ssi [1616] $895 - $1,342 1007%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1027 East Cherry Street, Cushing, OK 74023
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals