CMS Price Transparency Data

X-ray, shoulder

Facility: Aurora Medical Ctr Washington County

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $460
Cash Discount Price: $570
vs. Medicare Baseline: 5.17x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Aurora Medical Ctr Washington County is $460. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $570. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.17x the Medicare baseline. Located in 1032 E Sumner St, Hartford, WI.

Cash / Self-Pay

$570

Average discount available for prompt cash payment at this facility.

Insurance Median

$460

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: $570 (641%)

Insurance Median: $460 (517%)

Cash: $570 (641% of Medicare)

Ins. Median: $460 (517% 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 517% of the Medicare baseline (a markup of 417%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$200 - $1,256	225%
Aurora Caregiver	$240	270%
Quartz One	$245	276%
Common Ground	$249	280%
Everpointe Elite	$259	291%
Healthpartners	$266 - $1,140	299%
Blue Cross Blue Shield	$275 - $1,292	309%
Quartz Group	$290	326%
Hs Technology	$293	330%
Wisconsin Physician Service	$299 - $315	336%
Molina Exchange	$308	346%
Centivo	$328	369%
UnitedHealthcare	$336 - $1,280	378%
Health Payment Systems	$400	450%
Trilogy	$410	461%
Health Eos Plus	$456 - $912	513%
Cigna	$460 - $1,286	517%
Health Eos	$608 - $1,216	684%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $570.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73030.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Aurora Medical Ctr Washington County is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73030.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.