X-ray, shoulder
Facility: Neosho Memorial Regional Medical Center
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $110
- Cash Discount Price: $257
- vs. Medicare Baseline: 1.24x 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 |
|---|---|---|
| Medicaid / KanCare | $49 | 55% |
| Tricare | $106 | 119% |
| Aetna | $110 | 124% |
| Blue Cross Blue Shield | $110 - $155 | 124% |
| Medadv_Uhc | $110 | 124% |
| Medicare (plans) | $110 | 124% |
| Va_Ccn | $110 | 124% |
| Medadv_Allwell | $110 | 124% |
| Humana | $110 | 124% |
| Ambetter / Centene | $173 | 195% |
| Wppa_Providrscare | $285 | 321% |
| United | $286 | 322% |
| Cigna | $326 | 367% |
| Coventry | $326 | 367% |
| Hpk | $326 | 367% |
Consumer Guidance & Cost Commentary
For the X-ray, shoulder procedure (CPT 73030) at Neosho Memorial Regional Medical Center in Chanute, KS, the facility's cash median price of $257.00 is significantly higher than the state average of $110.00, though it remains lower than the gross charge of $343.00. While the facility is a Critical Access Hospital with government local ownership, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. For instance, while the median negotiated rate across payers is $110.00, individual plans like Blue Cross Blue Shield and United have negotiated rates ranging from $110.00 to $326.00, which can be higher than the cash option. This dynamic suggests that for patients with high-deductible plans or those who have already met their out-of-pocket maximum, paying the cash price directly may result in lower total costs compared to using insurance, provided the patient understands their specific plan's allowed amounts.
To ensure you are receiving the most accurate and fair pricing, it is essential 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. Since the facility's gross charge is $343.00, comparing this directly to the Medicare benchmark of $88.91 reveals a significant markup, with commercial rates often averaging 200% to 300% of the Medicare rate. Additionally, patients should inquire about prompt-pay discounts, which can reduce bills by 20% to 50