CMS Price Transparency Data

X-ray, shoulder

Facility: Saint Thomas Highlands Hospital

Billing Code: 73030 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$84
about 0.9× the $89 Medicare rate · typically $56–$84
modeled estimate · not a bill or quote
What this hospital charges insurers
$83
About the fair price
about $1 under the fair price · 0.9× Medicare
Medicare pays $89 Fair price $84 This hospital $83 Cash price $122 Hospital's list price $407

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $25 Priciest $83

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

A fair price for a X-ray, shoulder is about $84 (about 0.9× the $89 Medicare rate). Saint Thomas Highlands Hospital charges insurers about $83, or about $122 in cash — about the fair price. Located in Sparta, TN.

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 $83 - $128 93%
Blue Cross Blue Shieldmajor $16 - $87 18%
Aetnamajor $49 - $130 55%
Cignamajor $45 - $52 51%
Humanamajor $83 93%
Ambetter (Centene) $108 121%
Amerigroup $83 93%
Cigna HealthSpring $83 93%
Oscar Health $116 130%
+ 6 smaller / regional plans $22 - $116
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 401 Sewell Dr, Sparta, TN 38583
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals