X-ray, shoulder
Facility: Logan County Hospital
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $240
- Cash Discount Price: $70
- vs. Medicare Baseline: 2.70x 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 270% of the Medicare baseline (a markup of 170%). 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 | $140 | 157% |
| Humana | $148 | 166% |
| Health Partners - All Plans | $332 | 373% |
| Medicaid / KanCare | $350 | 394% |
Consumer Guidance & Cost Commentary
For this X-ray of the shoulder at Logan County Hospital in Oakley, Kansas, the cash price is $70.00, which is significantly lower than the facility's negotiated rates of $240.00 and the gross charge of $350.00. While the facility is a Critical Access Hospital with government local ownership, patients with high-deductible plans might find the cash price more advantageous if their insurance negotiated rate exceeds this amount, as paying out-of-pocket can sometimes result in lower total costs. It is important to note that the cash price of $70.00 is lower than the state average for this procedure, making it a cost-effective option for those who do not require insurance coverage or wish to avoid administrative fees.
To ensure you are receiving the most accurate pricing, always request an itemized bill that lists specific CPT codes rather than accepting a summary invoice that obscures individual charges. If you receive a bill that appears inflated, you can request a formal audit to identify errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain mistakes. Additionally, ask the billing department about prompt-pay discounts, which can reduce the cost by 20% to 50% if you settle the bill upfront, effectively bypassing the higher administrative costs associated with insurance claims processing.