X-ray, shoulder
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $239
- Cash Discount Price: $120
- vs. Medicare Baseline: 2.69x 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 269% of the Medicare baseline (a markup of 169%). 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 |
|---|---|---|
| Workers Comp [503999901] | $81 | 91% |
| Ku Athletics [503200094] | $81 | 91% |
| UnitedHealthcare | $81 | 91% |
| Medicare (plans) | $83 | 93% |
| Allwell [503200078] | $84 | 94% |
| Blue Cross Blue Shield | $84 | 94% |
| Tricare | $86 | 97% |
| Triwest [503201703] | $86 | 97% |
| Humana | $86 | 97% |
| Centurion [5032000966] | $106 | 119% |
| Ambetter / Centene | $118 | 133% |
| Hchsync Centrus Health Direct [503999916] | $120 - $279 | 135% |
| Alt Wppa [5032000964] | $168 - $335 | 189% |
| Wppa [503200056] | $168 - $335 | 189% |
| Meritain Health [503200039] | $168 - $479 | 189% |
| Fort Hays State Student Athletes [5032000960] | $171 | 192% |
| Occunet [503999930] | $171 | 192% |
| Alt Carelon Behavioral Health [503200905] | $200 - $399 | 225% |
| 6 Degrees Health [503999050] | $203 | 228% |
| Alt Meritain Health [503999911] | $239 - $479 | 269% |
| National Assn Letter Carriers [503200019] | $239 - $479 | 269% |
| Allied National [503999937] | $239 - $479 | 269% |
| Cigna | $239 - $638 | 269% |
| Aetna | $239 - $479 | 269% |
| Aha-Healthcare Preferred [503200050] | $239 - $479 | 269% |
| First Health [5032000110] | $239 - $479 | 269% |
| Php [503200005] | $239 - $479 | 269% |
| Advanced Medical Pricing Solutions [503301513] | $257 | 289% |
| Correct Care Solutions [50311253] | $279 - $559 | 314% |
| Usa Managed Care [503999030] | $359 - $718 | 404% |
Consumer Guidance & Cost Commentary
For this X-ray of the shoulder at the University of KS Health System Great Bend Campus, the facility's cash price of $120.00 is significantly lower than the state average of $239.00, offering a potential savings of $119.00 for self-pay patients. While many major insurers like UnitedHealthcare and Medicare have negotiated rates starting at $81, other commercial payers such as Cigna and Meritain Health have negotiated ranges extending up to $479, which exceeds the cash price. This disparity highlights that for patients with high-deductible plans, paying the cash price directly can be more cost-effective than relying on insurance, as the negotiated rates for some plans are higher than the facility's self-pay rate.
It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, patients should still verify their specific plan details before scheduling. If you are paying out-of-pocket, you may be eligible for additional prompt-pay discounts by asking the billing department for a self-pay rate before your visit, as these discounts can further reduce the $120.00 cash price. Additionally, if you receive an itemized bill, ensure it breaks down every CPT code to avoid paying for services that were not rendered or for unbundled charges that should have been included in the main procedure code. Always request a full itemized statement before agreeing to pay, as summary bills often obscure the true cost of care.