CMS Price Transparency Data

X-ray, shoulder

Facility: Hancock County Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $226
  • Cash Discount Price: $73
  • vs. Medicare Baseline: 2.54x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Hancock County Hospital is $226. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.54x the Medicare baseline. Located in 1519 Main Street Hwy 33, Sneedville, TN.
Cash / Self-Pay
$73

Average discount available for prompt cash payment at this facility.

Insurance Median
$226

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: $73 (82%)
Insurance Median: $226 (254%)
Cash: $73 (82% of Medicare)
Ins. Median: $226 (254% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 254% of the Medicare baseline (a markup of 154%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $19 - $246 21%
UnitedHealthcare $22 - $327 25%
Cigna $49 - $244 55%
Optima Health $79 - $118 89%
Aetna $80 - $233 90%
Molina Healthcare $80 - $244 90%
Sentara Health $80 - $232 90%
Amerigroup $87 - $232 98%
Medcost $148 - $156 166%
Ambetter / Centene $221 - $232 249%
Managed Medicaire $221 - $232 249%
Medicare (plans) $221 - $232 249%
United Mine Workers Of America $221 - $232 249%
Wellcare $221 - $327 249%
Humana $224 - $236 252%
Devoted Health Plan $232 - $244 261%
Nhc Advantage $232 - $244 261%
First Health Coventry $249 - $262 280%
Seven Corners, Inc. $311 - $327 350%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1519 Main Street Hwy 33, Sneedville, TN 37869
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals