X-ray, shoulder
Facility: Greenwood County Hospital
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $156
- Cash Discount Price: $167
- vs. Medicare Baseline: 1.75x 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 |
|---|---|---|
| Triwest - All Plans | $64 - $86 | 72% |
| Tricare | $75 - $101 | 84% |
| Choicecare Mcr Adv - All Plans | $75 - $101 | 84% |
| UnitedHealthcare | $75 - $202 | 84% |
| Blue Cross Blue Shield | $132 - $139 | 148% |
| Integrated Health Plan - All Plans | $134 - $180 | 151% |
| First Health - All Other Plans | $151 - $204 | 170% |
| First Health Ccn Network | $151 - $204 | 170% |
| Beech Street - All Plans | $151 - $204 | 170% |
| Preferred Hs (Coventry) - All Plans | $160 - $216 | 180% |
| Principal Health Care Inc - All Plans | $169 - $228 | 190% |
| Amerigroup Mcaid-All Plans | $178 - $240 | 200% |
| Medicaid / KanCare | $178 - $240 | 200% |
| Providrs Care/Wppa - All Plans | $267 - $360 | 300% |
Consumer Guidance & Cost Commentary
For this X-ray of the shoulder at Greenwood County Hospital in Eureka, KS, the cash price is $167.00, which is lower than the facility's gross charge of $209.00. While insurance negotiated rates range from $64 to $360 depending on the plan, patients with high-deductible plans may find paying cash directly cheaper if their insurance allowed amount exceeds the cash price. Because commercial rates often include administrative overhead and contract markups, it is advisable to ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, which can reduce the final cost further.
The facility's cash rate of $167.00 is significantly higher than the state average for this procedure, though specific county averages were not provided in the data. It is important to note that even though this service is billed under a CPT code, patients should be aware of balance billing protections; under the No Surprises Act, out-of-network providers cannot bill patients for the difference between their full charge and the insurance allowed amount for emergency care or non-emergency services at in-network facilities. If you receive a surprise bill, you should dispute it in writing rather than paying immediately, and always request a full itemized audit to ensure no unbundled codes or services not rendered are included in the final invoice.