X-ray, shoulder
Facility: Kansas City Orthopaedic Institute
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $81
- Cash Discount Price: Unavailable
- 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 |
|---|---|---|
| Blue Cross Blue Shield | $31 - $275 | 35% |
| Cigna | $54 - $215 | 61% |
| UnitedHealthcare | $81 - $191 | 91% |
| Aetna | $81 | 91% |
| Medica | $201 | 226% |
Consumer Guidance & Cost Commentary
For the X-ray, shoulder procedure (CPT 73030) at Kansas City Orthopaedic Institute in Leawood, KS, the facility's negotiated rates range from $31 to $275 across five payers, with a median negotiated amount of $81.00. This facility is owned by a physician group and operates as an acute care hospital. While the data does not provide a specific cash-pay median, patients with high-deductible plans should consider that paying cash upfront could sometimes be cheaper than the insurance negotiated rate if the insurer's allowed amount exceeds the cash price. It is always advisable to ask the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final cost.
The facility's pricing is benchmarked against the Medicare rate of $88.91, which serves as the federal baseline for healthcare costs. The data indicates a ratio of 0.9 versus Medicare, suggesting the facility's pricing structure is closely aligned with this government standard. Although specific county or state average data was not provided in the source information, understanding the Medicare benchmark helps patients evaluate whether the facility's charges are reasonable relative to the true cost of care. To avoid unexpected costs, patients should request an itemized bill to verify that all charges are accurate and that no services were unbundled or double-billed, ensuring they are only paying for what was actually rendered.