CMS Price Transparency Data

X-ray, shoulder

Facility: Lee County Community Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $101
  • Cash Discount Price: $73
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Lee County Community Hospital is $101. 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 1.14x the Medicare baseline. Located in 127 Health Care Drive, Pennington Gap, VA.
Cash / Self-Pay
$73

Average discount available for prompt cash payment at this facility.

Insurance Median
$101

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: $101 (114%)
Cash: $73 (82% of Medicare)
Ins. Median: $101 (114% 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 - $327 36%
UnitedHealthcare $40 - $327 45%
Cigna $49 - $327 55%
Aetna $68 - $327 76%
Ambetter / Centene $68 - $72 76%
Amerigroup $68 - $327 76%
Managed Medicaire $68 - $72 76%
Medicare (plans) $68 - $72 76%
Mountain Empire Pace $68 - $72 76%
Sentara Health $68 - $84 76%
United Mine Workers Of America $68 - $72 76%
Humana $70 - $73 79%
Molina Healthcare $71 - $158 80%
Devoted Health Plan $72 - $76 81%
Nhc Advantage $72 - $76 81%
Optima Health $101 - $152 114%
Seven Corners, Inc. $164 - $173 184%
First Health Coventry $311 - $327 350%
Medcost $311 - $327 350%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 127 Health Care Drive, Pennington Gap, VA 24277
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals