X-ray, shoulder
Facility: St. Catherine Hospital - Garden City
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $182
- Cash Discount Price: $343
- vs. Medicare Baseline: 2.05x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 205% of the Medicare baseline (a markup of 105%). 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 |
|---|---|---|
| Medicare (plans) | $22 - $26 | 25% |
| UnitedHealthcare | $22 - $185 | 25% |
| Kaiser | $22 - $409 | 25% |
| Blue Cross Blue Shield | $22 - $166 | 25% |
| Kansas Health | $22 | 25% |
| Humana | $22 - $26 | 25% |
| Cigna | $22 - $127 | 25% |
| Aetna | $22 - $251 | 25% |
| Devoted Health | $26 | 29% |
| Innovage | $26 | 29% |
| Direct To Employer | $75 - $594 | 84% |
| Centura Employee Plan | $91 | 102% |
| Peak Health | $99 - $579 | 111% |
| Multiplan | $134 - $1,262 | 151% |
| Wpaa | $161 - $209 | 181% |
| United Colorado Doctor'S Plan | $182 | 205% |
| Christian Health Aid | $183 - $239 | 206% |
| Health Partners Of Kansas | $222 - $289 | 250% |
| Denver Health | $269 - $350 | 303% |
Consumer Guidance & Cost Commentary
For the CPT code 73030 (X-ray, shoulder) at St. Catherine Hospital - Garden City, the facility's gross charge is $857.00, which is significantly higher than the state of Kansas average. While the hospital's cash median price of $343.00 is lower than the gross charge, it remains above the Medicare benchmark of $88.91, indicating a markup of 2.0 times the federal rate. Commercial negotiated rates vary widely among payers, ranging from $22 for plans like Medicare and Kansas Health up to $1,262 for Multiplan, with a median negotiated rate of $182.00 across the dataset. Patients with high-deductible plans may find the cash price more favorable if their insurance negotiated rate exceeds $343.00, though they should verify their specific plan's allowed amount before scheduling.
To minimize costs, consumers should proactively request self-pay or prompt-pay discounts before check-in, as these upfront payment incentives can bypass administrative fees and reduce the final bill by 20% to 50%. It is critical to avoid accepting summary bills, as they often obscure individual line items and potential errors; instead, patients should demand a full itemized CPT-coded statement to identify unbundled charges or services not rendered. Additionally, while the No Surprises Act protects against balance billing for emergency care at in-network facilities, patients should still review their itemized bill to ensure no out-of-network ancillary services triggered unexpected charges. Given the facility's voluntary non-profit ownership and location in Garden City (ZIP 67846), comparing the final itemized total against the