X-ray, shoulder
Facility: Kiowa County Memorial Hospital
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $300
- Cash Discount Price: $266
- vs. Medicare Baseline: 3.37x 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 337% of the Medicare baseline (a markup of 237%). 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 - $334 | 157% |
| UnitedHealthcare | $200 - $375 | 225% |
| Health Partners Of Ks-All Plans | $220 - $330 | 247% |
| Humana | $222 - $334 | 250% |
| Medica Prime Mcare Cost-All Plans | $222 - $334 | 250% |
| Aetna | $222 - $334 | 250% |
| Celtic Comml Exchange-All Other Plans | $222 - $334 | 250% |
| Medicaid / KanCare | $250 - $375 | 281% |
| Providrs Care/Wppa-All Plans | $375 - $562 | 422% |
Consumer Guidance & Cost Commentary
For the X-ray, shoulder service (CPT 73030) at Kiowa County Memorial Hospital in Greensburg, Kansas, the cash price is $266.00, which is lower than the facility's gross charge of $313.00. While most insurance plans negotiate rates ranging from $200 to $375, the cash price may be the most affordable option for patients with high-deductible plans or those without insurance. To maximize savings, patients should explicitly request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing costly claims processing and administrative overhead.
The facility's negotiated rates average $300.00, which is higher than the cash price but generally lower than the gross charges. It is important to note that commercial insurance rates often include administrative costs for claims management, which can inflate the baseline price compared to direct cash payments. Since this facility is a Critical Access Hospital in Kansas, patients should verify their specific plan's allowed amount, as some in-network rates may still exceed the cash price depending on the payer's contract terms.