CMS Price Transparency Data

X-ray, shoulder

Facility: Mangum Regional Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $214
  • Cash Discount Price: $198
  • vs. Medicare Baseline: 2.41x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Mangum Regional Medical Center is $214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $198. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.41x the Medicare baseline. Located in 1 Wickersham Drive, Mangum, OK.
Cash / Self-Pay
$198

Average discount available for prompt cash payment at this facility.

Insurance Median
$214

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: $198 (223%)
Insurance Median: $214 (241%)
Cash: $198 (223% of Medicare)
Ins. Median: $214 (241% 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 241% of the Medicare baseline (a markup of 141%). 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
UnitedHealthcare $38 - $198 43%
Tricare $158 178%
Healthchoice Ip/Op Only- All Plans $180 202%
Aetna $185 - $412 208%
Blue Cross Blue Shield $198 - $350 223%
Ok Cmplte Wellcare $198 223%
Humana $200 - $412 225%
Hs Technology - All Plans $222 250%
Ambetter / Centene $287 323%
Cigna $288 324%
Preferred Community Ppo Ip/Op Only- All Plans $330 371%
Ok Cmplte Soonerselect Mcaid $412 463%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Wickersham Drive, Mangum, OK 73554
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals