X-ray, shoulder
Facility: Bmh-Calhoun
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $184
- Cash Discount Price: $124
- vs. Medicare Baseline: 2.07x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 207% of the Medicare baseline (a markup of 107%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Veterans Evaluation Services | $88 | 99% |
| Molina | $90 - $189 | 101% |
| PPO Holdings | $90 | 101% |
| Magnolia Regional Health Center | $95 | 107% |
| Tricare | $97 | 109% |
| Triwest | $102 | 115% |
| Ms Breast and Cervical | $102 | 115% |
| Vaccn | $102 | 115% |
| Devoted Health | $104 | 117% |
| Blue Cross Blue Shield | $105 - $190 | 118% |
| American Health Plan | $107 | 120% |
| Aetna | $107 - $155 | 120% |
| Primewell | $107 | 120% |
| Humana | $107 - $190 | 120% |
| Shared Health | $107 | 120% |
| Magnolia Ms | $117 | 132% |
| Littler | $119 | 134% |
| Cigna | $131 | 147% |
| First Choice Health Plan of Ms | $154 | 173% |
| First State Bank Trust | $174 | 196% |
| Burch Food Services | $174 | 196% |
| Lakeland School System | $184 | 207% |
| French Camp Academy | $184 | 207% |
| Hospitality Management Advisors | $184 | 207% |
| W W Wood Products | $184 | 207% |
| Collierville Schools | $184 | 207% |
| Cannon Motor Company | $184 | 207% |
| Ritchey Automotive | $184 | 207% |
| Rei Nation | $184 | 207% |
| Building Plastic | $184 | 207% |
| Hattiesburg Clinic | $184 | 207% |
| Dunn Investment Company | $184 | 207% |
| Minact | $184 | 207% |
| Armstrong Relocation | $184 | 207% |
| State Systems | $184 | 207% |
| City of Lakeland | $184 | 207% |
| W G Yates | $184 | 207% |
| Gossett Motor Cars | $184 | 207% |
| Malco Theaters | $184 | 207% |
| Carlisle | $184 | 207% |
| Retzer Resources | $184 | 207% |
| Eas Mssc Schools | $184 | 207% |
| Davidson Hospitality | $184 | 207% |
| Mid-South Transport | $184 | 207% |
| City of Bartlett | $184 | 207% |
| Patterson Warehouses | $184 | 207% |
| Mechanical Systems | $184 | 207% |
| First Community Bank | $184 | 207% |
| Vaughn Electric | $184 | 207% |
| Radians | $184 | 207% |
| Heavy Machines | $184 | 207% |
| Crittenden County | $184 | 207% |
| Security One | $184 | 207% |
| Jas D Collier | $184 | 207% |
| Ashley Furniture Stores | $184 | 207% |
| Town of Collierville | $184 | 207% |
| Hollowell Industries | $184 | 207% |
| Heartland Catfish Company | $184 | 207% |
| Bartlett City Schools | $184 | 207% |
| Y K Auto Group | $184 | 207% |
| Brimhall Foods | $184 | 207% |
| Watkins Uiberall | $184 | 207% |
| Delta Industries | $184 | 207% |
| Arlington Community Schools | $184 | 207% |
| Desoto Co Board of Supervisors | $184 | 207% |
| United Tn Holdings | $184 | 207% |
| Silver Tree | $184 | 207% |
| Christian Health Aid | $190 | 214% |
| Advanced Health Systems Inc. | $190 | 214% |
| PPO Plus | $202 | 227% |
| Harding Academy | $205 | 231% |
| Employers Health Network | $205 | 231% |
| Multiplan | $214 | 241% |
| Qca | $214 | 241% |