CMS Price Transparency Data

X-ray, shoulder

Facility: Wellspan Good Samaritan Hospital

Billing Code: 73030 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$162

about 1.8× the $89 Medicare rate · typically $111–$212

modeled estimate · not a bill or quote

What this hospital charges insurers

$124

Below the fair price — a good deal

about $38 under the fair price · 1.4× Medicare

Medicare pays $89 Fair price $162 This hospital $124 Cash price $398 Hospital's list price $498

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $21 Priciest $124

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a X-ray, shoulder is about $162 (about 1.8× the $89 Medicare rate). Wellspan Good Samaritan Hospital charges insurers about $124, or about $398 in cash — below the fair price — a good deal. Located in Lebanon, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$498	560%
Blue Cross Blue Shieldmajor	$19 - $317	21%
Aetnamajor	$85 - $404	96%
Cignamajor	$293	330%
Geisinger	$299	336%
UPMC Health Plan	$299	336%

Government programs also on file: Medicare, Medicaid.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 398), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73030.

Insurance Before you use insurance

Call your insurance company to confirm Wellspan Good Samaritan Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 73030.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Wellspan Good Samaritan Hospital

Compare: X-ray, shoulder at other PA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.