X-ray, shoulder
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $82
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.92x 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 |
|---|---|---|
| Coventry City Of Wichita | $54 | 61% |
| Aetna | $76 | 85% |
| Humana | $81 | 91% |
| Vc Hope | $81 | 91% |
| Saint Lukes Health Systems | $81 | 91% |
| Va | $81 | 91% |
| Medicare (plans) | $81 - $83 | 91% |
| Via Christi Research | $81 | 91% |
| Blue Cross Blue Shield | $83 | 93% |
| UnitedHealthcare | $83 - $228 | 93% |
| Corizon | $102 | 115% |
| Smarthealth | $114 | 128% |
| Medicaid / KanCare | $138 | 155% |
Consumer Guidance & Cost Commentary
For the CPT code 73030 (X-ray, shoulder) at Ascension Via Christi Hospitals Wichita, Inc., the facility's negotiated rates range from $54 to $228 depending on the insurance plan, with a median negotiated amount of $82.00. This facility is located in Wichita, Kansas, and its pricing is generally aligned with the broader market, as the lowest negotiated rate of $54 matches the lowest available rate in the dataset while the highest rate of $228 reflects the upper limit for UnitedHealthcare plans. Notably, the facility's negotiated rate of $82.00 is slightly lower than the Medicare benchmark of $88.91, indicating a pricing structure that is competitive relative to the federal government's cost-based reimbursement standard.
While commercial insurance contracts often result in higher out-of-pocket costs due to administrative overhead and claim processing fees, patients with high-deductible plans may find that paying cash directly is more cost-effective. The facility does not list a specific cash-pay median, but patients are encouraged to explicitly request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill by bypassing insurance billing cycles. Additionally, because the No Surprises Act prohibits balance billing for emergency care and non-emergency services at in-network facilities, patients should verify their network status and ensure no out-of-network ancillary services are billed to avoid unexpected charges.