X-ray, shoulder
Facility: Kingman Healthcare Center
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $27
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.30x 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 |
|---|---|---|
| Healthy Blue | $27 | 30% |
| Medicaid / KanCare | $27 | 30% |
| Aetna | $40 | 45% |
Consumer Guidance & Cost Commentary
For the X-ray, shoulder procedure at Kingman Healthcare Center in Kansas, the median negotiated rate is $27.00, which is significantly lower than the state average of $40.00. While the facility's cash median is not available in this dataset, patients with high-deductible plans should be aware that paying cash upfront can sometimes result in lower out-of-pocket costs if the insurance negotiated rate exceeds the cash price. Since this facility is a Critical Access Hospital with a voluntary non-profit ownership structure, it is advisable to contact the billing department directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed.
The Medicare benchmark for this service is $88.91, providing a clear baseline for evaluating the facility's pricing. The median negotiated rate of $27.00 is well below the Medicare amount, indicating a favorable rate structure compared to the federal government's cost-based reimbursement. However, because the facility is an in-network provider for Healthy Blue, Medicaid/KanCare, and Aetna, patients should verify their specific plan details to ensure they are not subject to balance billing. If any unexpected charges arise, consumers should request a full itemized bill to review CPT codes and identify any unbundled services or errors, as over 80% of hospital bills contain discrepancies that can be resolved through a formal written audit dispute.