X-ray, shoulder
Facility: Liberty Hospital
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $93
- Cash Discount Price: $164
- vs. Medicare Baseline: 1.05x 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 | $9 - $543 | 10% |
| Aetna | $35 - $81 | 39% |
| Humana | $59 - $82 | 66% |
| Cigna | $81 | 91% |
| Medicare (plans) | $81 - $89 | 91% |
| UnitedHealthcare | $81 - $133 | 91% |
| Healthy Blue | $87 | 98% |
| Ambetter / Centene | $102 | 115% |
| Home State Health | $118 | 133% |
| Fox Everett | $343 - $412 | 386% |
| Phcs | $428 - $515 | 481% |
| Multiplan | $474 - $570 | 533% |
Consumer Guidance & Cost Commentary
For the X-ray, shoulder procedure at Liberty Hospital, the cash median price is $164, which is notably lower than the facility's gross charge of $581 and significantly below the median negotiated rate of $93 paid by insurers. This pricing structure highlights an opportunity for patients with high-deductible plans, as paying cash upfront can sometimes result in a lower out-of-pocket cost than the $93 average negotiated rate charged by commercial payers like Blue Cross Blue Shield, Aetna, and UnitedHealthcare.
While the facility is a voluntary non-profit acute care hospital in Liberty, MO, with a facility rating of 2, the $164 cash price aligns closely with the Medicare amount of $88.91 when adjusted for typical commercial markups, suggesting that direct payment avoids the administrative layers that inflate insurance rates. Patients are encouraged to explicitly request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the final bill by bypassing claim processing costs and administrative overhead.