CMS Price Transparency Data

X-ray, shoulder

Facility: Smyth County Community Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $106
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Smyth County Community Hospital is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.19x the Medicare baseline. Located in 245 Medical Park Drive, Marion, VA.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$106

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: $75 (84%)
Insurance Median: $106 (119%)
Cash: $75 (84% of Medicare)
Ins. Median: $106 (119% 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
Blue Cross Blue Shield $32 - $509 36%
UnitedHealthcare $40 - $472 45%
Cigna $49 - $89 55%
Optima Health $71 - $106 80%
Aetna $74 - $433 83%
Molina Healthcare $74 - $110 83%
Amerigroup $85 - $509 96%
Humana $85 96%
Managed Medicaire $85 96%
Medicare (plans) $85 96%
Sentara Health $85 - $142 96%
United Mine Workers Of America $85 96%
Devoted Health Plan $89 100%
Nhc Advantage $89 100%
Medcost $170 - $178 191%
Ambetter / Centene $185 208%
First Health Coventry $485 - $509 545%
Seven Corners, Inc. $485 - $509 545%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 245 Medical Park Drive, Marion, VA 24354
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals