CMS Price Transparency Data

X-ray, shoulder

Facility: UPMC Bedford Memorial

Billing Code: 73030 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$82
about 0.9× the $89 Medicare rate · typically $44–$91
modeled estimate · not a bill or quote
What this hospital charges insurers
$90
About the fair price
about $8 over the fair price · 1.0× Medicare
Medicare pays $89 Fair price $82 This hospital $90 Cash price $128 Hospital's list price $213

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 $90

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

A fair price for a X-ray, shoulder is about $82 (about 0.9× the $89 Medicare rate). UPMC Bedford Memorial charges insurers about $90, or about $128 in cash — about the fair price. Located in Everett, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $90 - $143 101%
Blue Cross Blue Shieldmajor $84 - $121 94%
Aetnamajor $30 - $143 34%
Cignamajor $85 - $143 96%
Humanamajor $192 216%
AmeriHealth $91 102%
Geisinger $117 132%
UPMC Health Plan $29 - $103 33%
+ 5 smaller / regional plans $91 - $192
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 10455 Lincoln Highway, Everett, PA 15537
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals