X-ray, shoulder
Facility: Goodland Regional Medical Center
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $165
- Cash Discount Price: $247
- vs. Medicare Baseline: 1.86x 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 | $140 | 157% |
| Wppa | $156 - $329 | 175% |
| UnitedHealthcare | $165 - $329 | 186% |
Consumer Guidance & Cost Commentary
For the X-ray, shoulder procedure (CPT 73030) at Goodland Regional Medical Center, the cash median price is $247.00, which is lower than the facility's gross charge of $275.00. While the facility is a Critical Access Hospital in Goodland, KS, with government-local ownership, the data does not provide specific county or state average rates for this procedure to make a direct comparison. However, it is important to note that commercial insurance negotiated rates for this service range from $140 to $329 depending on the payer, with Blue Cross Blue Shield paying a flat $140 and WPPA and UnitedHealthcare paying between $156 and $329. For patients with high-deductible plans, paying the cash price of $247.00 upfront could be more cost-effective than relying on insurance, as the negotiated rates for some payers exceed the cash amount, and the patient would still be responsible for meeting their deductible before those negotiated rates apply.
When evaluating the cost of this service, it is crucial to understand that Medicare serves as the objective baseline for pricing, with a benchmark amount of $88.91 for this code. Commercial rates are often significantly higher than this baseline due to administrative costs and contract dynamics, with fair pricing typically defined as 120% to 150% of the Medicare rate. Patients should be aware that while the facility offers a median negotiated rate of $165.00, this does not guarantee the lowest possible price, as in-network rates vary by insurer. To potentially reduce costs further, patients should explicitly ask the billing department about