CMS Price Transparency Data

X-ray, shoulder

Facility: SSM Health St Mary's Hospital - Janesville

Billing Code: 73030 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$156
about 1.8× the $89 Medicare rate · typically $70–$234
modeled estimate · not a bill or quote
What this hospital charges insurers
$148
About the fair price
about $8 under the fair price · 1.7× Medicare
Medicare pays $89 Fair price $156 This hospital $148 Cash price $340 Hospital's list price $618

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $25 Priciest $148

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

A fair price for a X-ray, shoulder is about $156 (about 1.8× the $89 Medicare rate). SSM Health St Mary's Hospital - Janesville charges insurers about $148, or about $340 in cash — about the fair price. Located in Janesville, WI.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 $148 - $161 166%
Dean Health Plan $88 99%
Molina $66 74%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 3400 East Racine Street, Janesville, WI 53546
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals