CMS Price Transparency Data

X-ray, shoulder

Facility: Upland Hills Health

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $137
Cash Discount Price: $157
vs. Medicare Baseline: 1.54x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Upland Hills Health is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $157. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.54x the Medicare baseline. Located in 800 Compassion Way, Dodgeville, WI.

Cash / Self-Pay

$157

Average discount available for prompt cash payment at this facility.

Insurance Median

$137

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: $157 (177%)

Insurance Median: $137 (154%)

Cash: $157 (177% of Medicare)

Ins. Median: $137 (154% 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.

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
UnitedHealthcare	$17 - $54	19%
Humana	$40 - $441	45%
Dean Health Plan	$62 - $341	70%
Ghc Of Eau Claire	$75	84%
Ghc Of Sc Wi	$75 - $333	84%
Mhs	$75 - $137	84%
Alliance	$89 - $277	100%
Blue Cross Blue Shield	$137 - $402	154%
Icare	$137	154%
Medical Associates	$137 - $368	154%
Security Health Plan	$137	154%
Quartz	$138	155%
Wps	$299 - $308	336%
Cigna	$366 - $409	412%
Multiplan	$431	485%

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 $157.
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 Upland Hills Health 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.