CMS Price Transparency Data

X-ray, shoulder

Facility: The Monroe Clinic

Billing Code: 73030 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$105
about 1.2× the $89 Medicare rate · typically $58–$189
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
Below the fair price — a good deal
about $50 under the fair price · 0.6× Medicare
Medicare pays $89 Fair price $105 This hospital $55 Cash price $208 Hospital's list price $379

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

A typical price — 3 charge more and 5 charge less, among the 9 WI hospitals compared.

Cheapest $25 Priciest $66

Black dot = this hospital, among the 9 WI 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 $105 (about 1.2× the $89 Medicare rate). The Monroe Clinic charges insurers about $55, or about $208 in cash — below the fair price — a good deal. Located in Monroe, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $50 - $55 56%
Aetnamajor $85 96%

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 515 22Nd Ave, Monroe, WI 53566
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals