X-ray, shoulder
Facility: Scott County Hospital
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $279
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 3.14x 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 314% of the Medicare baseline (a markup of 214%). 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 |
|---|---|---|
| UnitedHealthcare | $49 - $294 | 55% |
| Humana | $130 | 146% |
| Blue Cross Blue Shield | $140 | 157% |
| Wppa | $186 - $1,200 | 209% |
| Aetna | $279 | 314% |
Consumer Guidance & Cost Commentary
For the X-ray, shoulder procedure (CPT 73030) at Scott County Hospital in Scott City, KS, the facility's negotiated rates range from $49 to $1,200 across five insurance plans, with a median negotiated amount of $279. This commercial rate is significantly higher than the Medicare benchmark of $88.91, reflecting the typical administrative markup inherent in insurance contracts. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that cash-pay options are not listed for this specific service. However, if you have a high-deductible plan where your out-of-pocket costs exceed the cash price, paying directly might still be more cost-effective than relying on insurance, provided you can secure a "self-pay" or "prompt-pay" discount before scheduling.
It is important to understand that the wide variation in allowed amounts—from as low as $49 with UnitedHealthcare to as high as $1,200 with Wppa—is due to individual plan contracts rather than a single facility rate. Because these are negotiated rates, they serve as a ceiling to prevent balance billing for in-network members, but they do not guarantee the lowest possible price. If you receive a bill that exceeds your expected cost, you should request a full itemized audit to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors. Always verify your deductible status before using insurance, as paying the full negotiated rate without meeting your deductible can result in higher out-of-pocket expenses than anticipated.