X-ray, shoulder
Facility: Cheyenne County Hospital
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $224
- Cash Discount Price: $201
- vs. Medicare Baseline: 2.52x 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 252% of the Medicare baseline (a markup of 152%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $139 | 156% |
| First Health - All Plans | $165 | 186% |
| Healthy Blue Mcr Adv | $170 | 191% |
| Tricare | $170 | 191% |
| UnitedHealthcare | $170 - $236 | 191% |
| Aetna | $170 - $224 | 191% |
| Choice Care - All Plans | $172 | 193% |
| Firstguard - All Plans | $189 | 213% |
| Wppa - All Plans | $212 | 238% |
| Preferred Hc - All Plans | $224 | 252% |
| Cpm - All Plans | $224 | 252% |
| Midlands Choice - All Plans | $229 | 258% |
| Ppo Next - All Plans | $231 | 260% |
| Integrated Hp - All Plans | $231 | 260% |
| Unicare - All Plans | $231 | 260% |
| Health Partners - All Plans | $231 | 260% |
| Childrens Mercy - All Plans | $236 | 265% |
| Healthy Blue Mcaid - All Other Plans | $236 | 265% |
| Healthwave Mcaid - All Plans | $236 | 265% |
| Providers Care-All Plans | $354 | 398% |
Consumer Guidance & Cost Commentary
For the X-ray, shoulder procedure (CPT 73030), Cheyenne County Hospital in St. Francis, KS, offers a cash price of $201.00, which is lower than the facility's gross charge of $236.00. While the hospital's negotiated rates with insurance payers range from $139 to $354, the cash price is notably lower than the median negotiated rate of $224.00 and the state average of $212.00. This pricing structure suggests that patients with high-deductible plans or those without insurance may save money by paying cash directly, as the cash rate is often more affordable than the commercial rates insurers are contractually obligated to pay.
Patients should be aware that insurance companies negotiate their own rates, which can sometimes exceed the cash price due to administrative costs and contract dynamics. For this specific service, the lowest negotiated rate available is $139.00 with Blue Cross Blue Shield, which is lower than the cash price, but many other payers have negotiated rates significantly higher than $201.00. To ensure you receive the best possible rate, it is recommended to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available before scheduling your appointment. Additionally, if you are using insurance, remember that the No Surprises Act protects you from balance billing for out-of-network providers at in-network facilities, and you should always request a detailed, itemized bill to verify that all charges are accurate and necessary.