X-ray, shoulder
Facility: Minneola District Hospital
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $164
- Cash Discount Price: $130
- vs. Medicare Baseline: 1.84x 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 |
|---|---|---|
| Va Community Care Program-All Plans | $9 - $127 | 10% |
| Humana | $9 - $127 | 10% |
| UnitedHealthcare | $9 - $190 | 10% |
| Medicaid / KanCare | $27 - $190 | 30% |
| Providrs Care Network-All Plans | $27 - $162 | 30% |
| Aetna | $27 - $190 | 30% |
| Blue Cross Blue Shield | $140 | 157% |
| Corporate Plan Management-All Plans | $157 - $162 | 177% |
| Triwest-All Plans | $166 - $171 | 187% |
| Preferred Health Care (Coventry)-All Other Plans | $166 - $171 | 187% |
| Health Partners Of Kansas-All Plans | $176 - $180 | 198% |
| Phc (Coventry) Leased Network | $176 - $180 | 198% |
Consumer Guidance & Cost Commentary
For the X-ray, shoulder procedure (CPT 73030) at Minneola District Hospital, the facility's cash median price of $130 is lower than the state average for this service, which is $169. While the hospital's negotiated rates with insurance plans range from $9 to $190, these amounts are often higher than the cash price due to administrative costs and contract structures. Patients with high-deductible plans may find it financially beneficial to pay the $130 cash rate directly, as the insurance negotiated rates can exceed this amount before deductibles are met. It is important to verify the specific allowed amount for your plan before scheduling, as in-network rates vary significantly across the 12 payers listed, with some plans paying as high as $190 compared to the cash price.
To minimize costs, patients should proactively ask the hospital about self-pay or prompt-pay discounts, which can reduce bills by 20% to 50% for upfront payments. Since the facility is a Critical Access Hospital owned by a Government Hospital District, requesting a waiver of insurance submission before check-in can prevent automatic claims that void cash agreements. Additionally, if you receive a bill, always request a full itemized statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. For context, the facility's Medicare benchmark amount of $88.91 serves as a baseline for fair pricing, indicating that commercial negotiated rates are significantly marked up above the federal cost basis.