X-ray, shoulder
Facility: Girard Medical Center
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $140
- Cash Discount Price: $240
- vs. Medicare Baseline: 1.57x 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% |
| Humana | $140 | 157% |
| Medicare (plans) | $140 | 157% |
| Ambetter / Centene | $140 | 157% |
| Aetna | $140 - $700 | 157% |
| Kansas Superior Select-All Plans | $140 | 157% |
| UnitedHealthcare | $140 - $380 | 157% |
| Multiplan-All Plans | $370 | 416% |
| Uhhis-All Plans | $380 | 427% |
Consumer Guidance & Cost Commentary
For the X-ray, shoulder procedure (CPT 73030) at Girard Medical Center in Girard, KS, the facility's cash median rate is $240.00, while the median negotiated rate paid by insurance plans is $140.00. This specific service is benchmarked against the Medicare rate of $88.91, showing a markup of 1.6 times the Medicare amount. It is important to note that while commercial negotiated rates often appear lower than cash prices, patients with high-deductible plans may find the cash price more affordable if their insurance allowed amount exceeds the cash rate. Additionally, patients should verify if the facility offers "self-pay" or "prompt-pay" discounts, which can provide further cost savings by bypassing administrative billing cycles.
The pricing data reflects a range of negotiated amounts across nine payers, with most plans settling at $140.00, though some commercial payers like Aetna and UnitedHealthcare have ranges extending up to $700.00 and $380.00 respectively. Since this facility is a Critical Access Hospital owned by a Government Hospital District, its rates are structured to comply with federal cost-basis standards rather than inflated chargemaster lists. Consumers are advised to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. By comparing the facility's rates directly to the Medicare benchmark rather than the gross charge, patients can better understand the true cost of care and avoid unnecessary financial burden.