X-ray, shoulder
Facility: Hamilton County Hospital
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $140
- Cash Discount Price: $205
- vs. Medicare Baseline: 1.57x 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.
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 | $66 - $140 | 74% |
| First Health Coventry - All Plans | $119 - $230 | 134% |
| UnitedHealthcare | $133 - $256 | 150% |
| Cigna | $133 - $256 | 150% |
| Va Ccn - All Plans | $140 - $270 | 157% |
| Aetna | $238 - $459 | 268% |
Consumer Guidance & Cost Commentary
For the X-ray, shoulder procedure (CPT 73030) at Hamilton County Hospital in Syracuse, KS, the cash price is $205.00, which matches the facility's median paid amount. This cash rate is significantly lower than the negotiated rates charged to insurance payers, who are billed between $119 and $459 depending on their specific plan. While the facility is a Critical Access Hospital with government-local ownership, the cash price remains competitive compared to the broader market, as commercial negotiated rates often include administrative overhead that can inflate the final cost for insured patients.
Patients should be aware that paying cash upfront may result in a lower total cost than using insurance, particularly if their plan has a high deductible or if the insurer's negotiated rate exceeds the cash price. Although the facility offers no specific prompt-pay discount percentage in this dataset, it is standard practice for hospitals to provide fee reductions for self-pay patients who settle their bill in full within 30 days. To ensure you receive the most favorable rate, you should explicitly request a "self-pay" or "prompt-pay" discount before scheduling your appointment and avoid automatic claims submission, which can void any potential cash savings.