CMS Price Transparency Data

X-ray, shoulder

Facility: Lee's Summit Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $832
Cash Discount Price: $2,065
vs. Medicare Baseline: 9.36x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Lee's Summit Medical Center is $832. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,065. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 9.36x the Medicare baseline. Located in 2100 Se Blue Parkway, Lees Summit, MO.

Cash / Self-Pay

$2,065

Average discount available for prompt cash payment at this facility.

Insurance Median

$832

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $2,065 (2323%)

Insurance Median: $832 (936%)

Cash: $2,065 (2323% of Medicare)

Ins. Median: $832 (936% of 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 936% of the Medicare baseline (a markup of 836%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Multiplan	$26 - $2,776	29%
Corvel Corporation	$31 - $2,439	35%
Oha Network	$32 - $1,876	36%
Aetna	$37 - $1,914	42%
Blue Cross Blue Shield	$38 - $1,613	43%
Humana	$38 - $49	43%
United	$49 - $1,688	55%
Healthyblue	$50	56%
Medicaid / KanCare	$50	56%
Amerigroup	$51	57%
Home State Health Plan	$51	57%
Unicare	$51	57%
Cigna	$101 - $3,002	114%
Ambetter / Centene	$347 - $698	390%
Nhc Advantage	$355 - $713	399%
Wppa Providrs Care Network	$374 - $750	421%
Universal Healthcare	$654 - $1,313	736%
Coventry	$751 - $1,508	845%
Coventry Kc Mo	$766 - $1,538	862%
College Park Family Care Center	$803 - $1,613	903%
Focus Healthcare Mgmt, Inc	$1,401 - $2,814	1576%
Cco, Inc.	$1,587 - $3,189	1785%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,065.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73030.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lee's Summit Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73030.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.