X-ray, shoulder
Facility: Ascension Via Christi Rehabilitation Hospital 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 |
|---|---|---|
| Aetna | $28 - $82 | 31% |
| Coventry City Of Wichita | $54 | 61% |
| Vc Hope | $81 | 91% |
| Medicare (plans) | $81 - $83 | 91% |
| Va | $81 | 91% |
| Humana | $81 | 91% |
| Blue Cross Blue Shield | $83 | 93% |
| UnitedHealthcare | $83 - $228 | 93% |
| Smarthealth | $114 | 128% |
| Medicaid / KanCare | $138 | 155% |
| Cigna | $168 | 189% |
Consumer Guidance & Cost Commentary
For the CPT code 73030 (X-ray, shoulder) at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rates range from $28 to $228 depending on the insurance carrier. While the facility's median negotiated rate of $82 aligns closely with the state average for this service, it is important to note that commercial insurance contracts often include administrative overhead that can inflate the baseline price by 20% to 40% compared to the true cost of care. Medicare serves as a more reliable benchmark for understanding the actual cost of this procedure, with a standard reimbursement rate of $88.91. Because commercial rates vary significantly by payer—ranging from $54 for Coventry City Of Wichita to $228 for UnitedHealthcare—patients should verify their specific plan's allowed amount before scheduling to avoid unexpected costs.
Patients should be aware that cash-pay options may offer significant savings, particularly for those with high-deductible plans where the insurance negotiated rate exceeds the cash price. Although the cash median is not currently listed for this specific code, facilities frequently offer prompt-pay discounts of 20% to 50% for upfront payments, which bypass the costly claims processing and administrative labor associated with insurance billing. To ensure you receive the best possible rate, it is recommended to contact the hospital directly to inquire about self-pay or prompt-pay discounts before check-in and to request a full itemized bill if you choose to pay out-of-network. This audit process helps identify any unbundled charges or errors that could otherwise lead to unnecessary medical debt.