X-ray, shoulder
Facility: Kansas Surgery & Recovery Center
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $81
- Cash Discount Price: $190
- vs. Medicare Baseline: 0.91x 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 |
|---|---|---|
| Aetna | $44 - $80 | 49% |
| Triwest | $80 | 90% |
| Blue Cross Blue Shield | $80 - $106 | 90% |
| UnitedHealthcare | $81 - $191 | 91% |
| Cigna | $191 | 215% |
Consumer Guidance & Cost Commentary
For the X-ray, shoulder procedure (CPT 73030) at Kansas Surgery & Recovery Center in Wichita, KS, the cash price is $190.00, which is slightly lower than the facility's gross charge of $191.00. While the facility is in-network for five payers, the negotiated rates vary significantly, ranging from $44 at Aetna to $191 at Cigna. It is important to note that for patients with high-deductible plans, paying the cash price of $190.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates for some carriers exceed the cash amount. Additionally, patients should inquire about "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full within a short window, bypassing the administrative costs associated with insurance claims processing.
The Medicare benchmark for this service is $88.91, indicating that the cash price represents a markup of 2.14 times the federal baseline, which aligns with typical commercial pricing structures where rates often range from 200% to 300% of Medicare. Although the data does not provide specific state or county average comparisons for this exact procedure, the facility's cash rate is comparable to the median negotiated rate of $81.00 reported across the dataset. To ensure you receive the most accurate pricing, we recommend requesting a formal itemized bill before payment to verify all charges and avoid balance billing, which is largely prohibited for in-network services under the No Surprises Act. Always confirm your specific plan's deductible status and ask the billing department