CMS Price Transparency Data

X-ray, shoulder

Facility: Thedacare Medical Center - Berlin Inc

Billing Code: 73030 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$111
about 1.2× the $89 Medicare rate · typically $28–$235
modeled estimate · not a bill or quote
Medicare pays $89 Fair price $111 Cash price $154 Hospital's list price $274

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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
UnitedHealthcaremajor $94 - $400 106%
Blue Cross Blue Shieldmajor $135 - $291 152%
Aetnamajor $138 - $446 155%
Humanamajor $135 152%
HealthPartners $200 225%
Quartz $326 367%
+ 2 smaller / regional plans $336 - $401
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 225 Memorial Drive, Berlin, WI 54923
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals