CMS Price Transparency Data

X-ray, shoulder

Facility: Intermountain Health Fillmore Community Hospital

Billing Code: 73030 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$75
about 0.8× the $89 Medicare rate · typically $28–$181
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
Below the fair price — a good deal
about $42 under the fair price · 0.4× Medicare
Medicare pays $89 Fair price $75 This hospital $33 Cash price $371 Hospital's list price $494

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

One of the lower prices — 0 of 8 other UT hospitals charge more for the same procedure.

Cheapest $29 Priciest $33

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a X-ray, shoulder is about $75 (about 0.8× the $89 Medicare rate). Intermountain Health Fillmore Community Hospital charges insurers about $33, or about $371 in cash — below the fair price — a good deal. Located in Fillmore, UT.

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 $9 - $469 10%
Blue Cross Blue Shieldmajor $9 - $469 10%
Aetnamajor $9 - $474 10%
Cignamajor $246 - $469 277%
Humanamajor $9 - $227 10%
HealthPartners $9 - $227 10%
Molina $9 - $469 10%
SelectHealth $9 - $469 10%
+ 30 smaller / regional plans $9 - $474
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 674 South Highway 99, Fillmore, UT 84631
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals