CMS Price Transparency Data

X-ray, shoulder

Facility: Excela Health - Frick Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $93
  • Cash Discount Price: $183
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Excela Health - Frick Hospital is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $183. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.05x the Medicare baseline. Located in 508 South Church Street, Mount Pleasant, PA.
Cash / Self-Pay
$183

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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: $183 (206%)
Insurance Median: $93 (105%)
Cash: $183 (206% of Medicare)
Ins. Median: $93 (105% 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
Upmc For Kids Chip $18 20%
Geisinger $30 - $93 34%
Health Partners Plans $30 34%
Highmark Wholecare $31 - $97 35%
Amerihealth Caritas $32 - $93 36%
Pa Health And Wellness $32 - $95 36%
Upmc $32 - $96 36%
Upmc Health Plan $81 - $103 91%
Highmark Advantage Community Blue $83 93%
Senior Life $89 100%
Va $89 100%
Aetna $92 - $204 103%
Health Partners Plan $92 103%
Humana $92 103%
Martin'S Point $92 103%
Peak Health $92 - $209 103%
The Health Plan Of West Virginia $92 - $209 103%
United $92 103%
Cigna $93 - $196 105%
Devoted $93 105%
American Health Plan Of Pa $98 110%
Provider Network Of America $98 - $292 110%
Provider Plan Partners Plan $98 110%
Highmark Children'S Health Insurance Program $107 120%
Ambetter / Centene $111 125%
Highmark $120 - $196 135%
Velocity $133 150%
Community Blue $177 199%
UnitedHealthcare $227 255%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 508 South Church Street, Mount Pleasant, PA 15666
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals