X-ray, shoulder
Facility: Labette Health
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $75
- Cash Discount Price: $130
- vs. Medicare Baseline: 0.84x 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 |
|---|---|---|
| Montgomery County | $14 - $149 | 16% |
| Uhccp | $18 - $28 | 20% |
| Aetna | $29 | 33% |
| Kansas Superior Select | $32 - $84 | 36% |
| Medicaid / KanCare | $49 - $149 | 55% |
| Healthy Blue | $50 - $75 | 56% |
| Multiplan | $75 - $281 | 84% |
| Humana | $81 | 91% |
| Blue Cross Blue Shield | $81 - $140 | 91% |
| Wellcare | $81 | 91% |
| UnitedHealthcare | $81 - $288 | 91% |
| Ambetter / Centene | $83 - $94 | 93% |
| Health Partners Of Kansas, Inc | $298 | 335% |
| Choicecare (First Health Network) | $298 | 335% |
Consumer Guidance & Cost Commentary
For this X-ray shoulder procedure at Labette Health in Parsons, KS, the facility's cash price of $130.00 is lower than the gross charge of $186.00 but higher than the Medicare benchmark of $88.91. While the facility is a government-owned acute care hospital, commercial insurance rates vary significantly by plan; for instance, Montgomery County plans pay a low average of $14.00, whereas UnitedHealthcare plans pay up to $288.00. Patients with high-deductible plans should consider paying the cash price directly, as it is often cheaper than the negotiated rates their insurance would allow, which can range from $75.00 to $298.00 depending on the carrier.
To minimize unexpected costs, patients should verify their specific plan's negotiated rate before scheduling and ask the billing department about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed. If you receive a bill from an out-of-network provider at this in-network facility, the No Surprises Act protects you from balance billing for emergency and non-emergency services, so you should dispute any surprise charges in writing rather than paying immediately. Additionally, always request a full itemized bill to review every CPT code and unit charge, as summary bills often hide errors or unbundled services that could be corrected to lower your total debt.