X-ray, shoulder
Facility: Kearny County Hospital
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $255
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.87x 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 287% of the Medicare baseline (a markup of 187%). 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 | $255 | 287% |
| Paradigm | $255 | 287% |
| UnitedHealthcare | $255 | 287% |
| Kansas Solutions | $255 | 287% |
| Aetna | $255 | 287% |
| Community Care Health Plan Of | $255 | 287% |
| Wps Gha - Mac J5 Part A | $255 | 287% |
Consumer Guidance & Cost Commentary
For the X-ray, shoulder procedure (CPT 73030) at Kearny County Hospital in Lakin, KS, the facility's negotiated rates are consistently $255 across seven major payers, including Blue Cross Blue Shield, UnitedHealthcare, and Aetna. This amount matches the facility's median negotiated rate exactly, indicating no variation based on specific insurance plan. However, the cash median price is not listed in the data, so patients cannot yet determine if paying out-of-pocket would be more cost-effective. Generally, cash-pay options can be cheaper for patients with high-deductible plans if the insurance negotiated rate exceeds the cash price, but this specific comparison is unavailable for this service.
The Medicare benchmark for this procedure is $88.91, which serves as a baseline for evaluating the facility's pricing markup. While the data does not provide specific state or county average comparisons for this code, the facility is a Critical Access Hospital owned by the local government. Patients should be aware that hospitals often offer prompt-pay discounts, which can reduce bills by 20% to 50% if paid in full upfront within a short window, effectively bypassing the administrative costs associated with insurance claims. To secure these potential savings, it is essential to request self-pay classification and prompt-pay rates before check-in and to sign a waiver of insurance submission to ensure the cash discount applies.