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
XR SHLDR COMPLT MIN 2 VWS-TECH
Beaver Dam, WI
See all hospitals reporting CPT 73030 →Price type
Marshfield Medical Center - Beaver Dam’s median price of $296 is 132% above the median hospital's median price ($128), higher than 79% 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: 6 payers, 17 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 | Anthem hmo/pos facility · fee schedule · outpatient | $177.22 | $177.22 | $177.22 – $177.22 |
| 2 | Anthem ppo facility · fee schedule · outpatient | $177.22 | $177.22 | $177.22 – $177.22 |
| 3 | Anthem traditional facility · fee schedule · outpatient | $177.22 | $177.22 | $177.22 – $177.22 |
| 4 | Cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $241.40 | $241.40 | $241.40 – $241.40 |
| 5 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $262.70 | $262.70 | $262.70 – $262.70 |
| 6 | Humana hmo facility · percent of total billed charges · inpatientfrom % of charges | $280.45 | $280.45 | $280.45 – $280.45 |
| 7 | Humana hmo facility · percent of total billed charges · outpatientfrom % of charges | $280.45 | $280.45 | $280.45 – $280.45 |
| 8 | First Health ppo network facility · percent of total billed charges · inpatientfrom % of charges | $301.75 | $301.75 | $301.75 – $301.75 |
| 9 | First Health ppo network facility · percent of total billed charges · outpatientfrom % of charges | $301.75 | $301.75 | $301.75 – $301.75 |
| 10 | Molina hmo facility · percent of total billed charges · inpatientfrom % of charges | $301.75 | $301.75 | $301.75 – $301.75 |
| 11 | Molina hmo facility · percent of total billed charges · outpatientfrom % of charges | $301.75 | $301.75 | $301.75 – $301.75 |
| 12 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $315.95 | $315.95 | $315.95 – $315.95 |
| 13 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $315.95 | $315.95 | $315.95 – $315.95 |
| 14 | MultiPlan ppo network facility · percent of total billed charges · inpatientfrom % of charges | $330.15 | $330.15 | $330.15 – $330.15 |
| 15 | MultiPlan ppo network facility · percent of total billed charges · outpatientfrom % of charges | $330.15 | $330.15 | $330.15 – $330.15 |
| 16 | MultiPlan workers comp facility · percent of total billed charges · inpatientfrom % of charges | $337.25 | $337.25 | $337.25 – $337.25 |
| 17 | MultiPlan workers comp facility · percent of total billed charges · outpatientfrom % of charges | $337.25 | $337.25 | $337.25 – $337.25 |
Last updated: Feb 20, 2026
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