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
X-Ray Shoulder RT
Sioux Center, IA
See all hospitals reporting CPT 73030 →Price type
Sioux Center Health’s median price of $104 is 19% below the median hospital's median price ($128), higher than 37% 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: 4 payers, 16 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 | Wellmark hmo fee schedule · both | $59.40 | $59.40 | $59.40 – $59.40 |
| 2 | UnitedHealthcare com fee schedule · both | $61.25 | $61.25 | $61.25 – $61.25 |
| 3 | Wellmark ppo fee schedule · both | $69.90 | $69.90 | $69.90 – $69.90 |
| 4 | Medica com fee schedule · both | $76.45 | $76.45 | $76.45 – $76.45 |
| 5 | Medica ind fee schedule · both | $76.45 | $76.45 | $76.45 – $76.45 |
| 6 | Healthpartners com fee schedule · both | $81.45 | $81.45 | $81.45 – $81.45 |
| 7 | Medica ind percent of total billed charges · inpatientfrom % of charges | $87.75 | $87.75 | $87.75 – $87.75 |
| 8 | Medica com percent of total billed charges · inpatientfrom % of charges | $104.22 | $104.22 | $104.22 – $104.22 |
| 9 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $115.16 | $115.16 | $115.16 – $115.16 |
| 10 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $115.16 | $115.16 | $115.16 – $115.16 |
| 11 | Wellmark hmo case rate · outpatient | $120.89 | $120.89 | $114.03 – $127.74 |
| 12 | Wellmark ppo case rate · outpatient | $120.89 | $120.89 | $114.03 – $127.74 |
| 13 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $124.20 | $124.20 | $124.20 – $124.20 |
| 14 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $124.20 | $124.20 | $124.20 – $124.20 |
| 15 | Medica com fee schedule · outpatient | $237.65 | $237.65 | $237.65 – $237.65 |
| 16 | Medica ind fee schedule · outpatient | $237.65 | $237.65 | $237.65 – $237.65 |
Last updated: Apr 1, 2026
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