Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Shoulder Cmplt Min 2 Vw Rt Evans Series
Melrose Park, IL
See all hospitals reporting CPT 73030 →Price type
Gottlieb Memorial Hospital’s median price of $96 is 25% below the median hospital's median price ($128), higher than 31% of the 2,584 hospitals reporting CPT 73030. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 20 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Molina medicaid facility · case rate · outpatient | $54.71 | $54.71 | $54.71 – $54.71 |
| 2 | Cigna hmo facility · fee schedule · outpatient | $59.36 | $59.36 | $59.36 – $59.36 |
| 3 | Blue Cross Blue Shield mmp/duals facility · fee schedule · outpatient | $85.36 | $85.36 | $85.36 – $85.36 |
| 4 | Cigna ppo facility · fee schedule · outpatient | $89.05 | $89.05 | $89.05 – $89.05 |
| 5 | Aetna medicare advantage facility · fee schedule · outpatient | $91.79 | $91.79 | $91.79 – $91.79 |
| 6 | Humana medicare advantage facility · fee schedule · outpatient | $93.90 | $93.90 | $93.90 – $93.90 |
| 7 | Cigna medicare advantage facility · fee schedule · outpatient | $94.54 | $94.54 | $94.54 – $94.54 |
| 8 | Molina medicare advantage facility · fee schedule · outpatient | $96.37 | $96.37 | $96.37 – $96.37 |
| 9 | WellCare medicare advantage facility · fee schedule · outpatient | $96.37 | $96.37 | $96.37 – $96.37 |
| 10 | Oscar health exchange facility · fee schedule · outpatient | $100.96 | $100.96 | $100.96 – $100.96 |
| 11 | Molina health exchange facility · fee schedule · outpatient | $114.73 | $114.73 | $114.73 – $114.73 |
| 12 | Humana all products facility · fee schedule · outpatient | $136.78 | $136.78 | $136.78 – $136.78 |
| 13 | UnitedHealthcare navigate core facility · other · outpatient | $272.00 | $272.00 | $272.00 – $272.00 |
| 14 | UnitedHealthcare all products facility · other · outpatient | $296.00 | $296.00 | $296.00 – $296.00 |
| 15 | Blue Cross Blue Shield blue choice facility · percent of total billed charges · outpatientfrom % of charges | $338.65 | $363.00 | $0.01 – $508.66 |
| 16 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $421.48 | $451.79 | $0.01 – $633.08 |
| 17 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $491.11 | $526.43 | $0.01 – $737.67 |
| 18 | Blue Cross Blue Shield blue precision facility · percent of total billed charges · outpatientfrom % of charges | $510.17 | $546.86 | $0.01 – $766.30 |
| 19 | Aetna fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges | $535.09 | $573.57 | $0.01 – $803.73 |
| 20 | Aetna all products facility · other · outpatient | $2,544 | $2,544 | $2,544 – $2,544 |
Last updated: Mar 31, 2026
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