CMS Price Transparency Data

X-ray, shoulder

Facility: Milton S Hershey Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $96
Cash Discount Price: $146
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Milton S Hershey Medical Center is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.08x the Medicare baseline. Located in 500 University Drive, Hershey, PA.

Cash / Self-Pay

$146

Average discount available for prompt cash payment at this facility.

Insurance Median

$96

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: $146 (164%)

Insurance Median: $96 (108%)

Cash: $146 (164% of Medicare)

Ins. Median: $96 (108% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
[Amerihealth Caritas]	$78 - $92	88%
[Highmark Wholecare]	$78 - $92	88%
[Cbc]	$79 - $291	89%
[Geisinger]	$83 - $328	93%
[Health Partners Plans]	$86 - $94	97%
[Pa Health & Wellness]	$86 - $95	97%
[Highmark]	$91 - $496	102%
Aetna	$93 - $223	105%
Humana	$93	105%
[Healthspring]	$93	105%
UnitedHealthcare	$94 - $212	106%
[Upmc]	$94 - $325	106%
[Point Comfort Underwriters]	$115	129%
Cigna	$281	316%
[Preferred Healthcare Systems]	$330	371%
[Highmark Aca]	$347	390%
[First Health]	$352	396%
[Multiplan]	$352	396%
[Highmark Choice Blue]	$397	447%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $146.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73030.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Milton S Hershey Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73030.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.