CMS Price Transparency Data

X-ray, shoulder

Facility: Marshfield Medical Center - Eau Claire

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $209
Cash Discount Price: $213
vs. Medicare Baseline: 2.35x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Marshfield Medical Center - Eau Claire is $209. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $213. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.35x the Medicare baseline. Located in 2310 Craig Rd, Eau Claire, WI.

Cash / Self-Pay

$213

Average discount available for prompt cash payment at this facility.

Insurance Median

$209

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: $213 (240%)

Insurance Median: $209 (235%)

Cash: $213 (240% of Medicare)

Ins. Median: $209 (235% 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 235% of the Medicare baseline (a markup of 135%). 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
Family Health Center (Fhc)	$112	126%
Amish/Mennonite	$123	138%
Sanford Health Plan	$123	138%
Security Health Plan (Shp)	$133 - $183	150%
The Alliance	$163 - $1,292	183%
Blue Cross Blue Shield	$177 - $201	199%
Group Health Cooperative Of Eau Claire	$184 - $202	207%
UnitedHealthcare	$185 - $484	208%
Besse Forest Products	$190	214%
Molina Healthcare Of Wi	$190	214%
Rice Lake School District	$190	214%
Wps Health Insurance	$198 - $216	223%
Medica Of Wi	$209 - $213	235%
Cigna	$213	240%
Corvel	$213	240%
First Health	$213	240%
Health Partners	$213	240%
Healtheos By Multiplan Inc.	$213	240%
Three Rivers Provider Network (Trpn)	$213	240%
Trilogy	$214 - $215	241%
Coventry	$215	242%
Health Smart	$215	242%
Rising Medical Work Comp	$217	244%

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 $213.
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 Marshfield Medical Center - Eau Claire 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.