X-ray, shoulder
Facility: Via Christi Hospital Wichita St Teresa, 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% |
| Medicare (plans) | $81 - $83 | 91% |
| Vc Hope | $81 | 91% |
| Va | $81 | 91% |
| Humana | $81 | 91% |
| Via Christi Research | $81 | 91% |
| Saint Lukes Health Systems | $81 | 91% |
| UnitedHealthcare | $83 - $228 | 93% |
| Blue Cross Blue Shield | $83 | 93% |
| Corizon | $102 | 115% |
| Smarthealth | $114 | 128% |
| Medicaid / KanCare | $138 | 155% |
Consumer Guidance & Cost Commentary
For this X-ray shoulder procedure at Via Christi Hospital Wichita St Teresa, Inc, the negotiated rates range from $54 to $228 depending on your specific insurance plan, with a median negotiated amount of $82.00. While some payers like Coventry City Of Wichita and Aetna have a single plan rate of $54 and $76 respectively, others such as UnitedHealthcare show a wider spread between $83 and $228. It is important to note that the cash price for this service is not listed, but patients with high-deductible plans should be aware that paying cash upfront can sometimes be cheaper than the insurance negotiated rate if the allowed amount exceeds the cash price. Additionally, this facility offers a prompt-pay discount, which is a fee reduction typically between 20% and 50% for patients who pay their bill in full within a short window, effectively bypassing the administrative costs associated with insurance claims processing.
The facility's pricing is benchmarked against the Medicare rate of $88.91, which serves as a scientifically validated baseline for the true cost of care. The median negotiated rate of $82.00 is slightly lower than the Medicare amount, indicating a competitive pricing structure relative to the federal standard. While the data does not provide explicit state or county average comparisons for this specific code, the facility is located in Wichita, KS, and operates as a voluntary non-profit acute care hospital. To ensure you receive the best possible rate, it is recommended to contact the hospital directly to confirm "self-pay" or "prompt-pay" discounts before scheduling, as billing systems may default to insurance processing if a card is on file. Always request an item