CMS Price Transparency Data

X-ray, shoulder

Facility: Belton Regional Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $1,164
Cash Discount Price: $4,999
vs. Medicare Baseline: 13.09x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Belton Regional Medical Center is $1,164. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,999. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 13.09x the Medicare baseline. Located in 17065 S 71 Highway, Belton, MO.

Cash / Self-Pay

$4,999

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,164

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: $4,999 (5623%)

Insurance Median: $1,164 (1309%)

Cash: $4,999 (5623% of Medicare)

Ins. Median: $1,164 (1309% 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 1309% of the Medicare baseline (a markup of 1209%). 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 - $4,937	29%
Corvel Corporation	$31 - $4,337	35%
Oha Network	$32 - $3,336	36%
Aetna	$37 - $3,403	42%
Blue Cross Blue Shield	$38 - $2,735	43%
Humana	$38 - $49	43%
United	$49 - $3,002	55%
Healthyblue	$50	56%
Medicaid / KanCare	$50	56%
Amerigroup	$51	57%
Unicare	$51	57%
Home State Health Plan	$52	58%
Cigna	$101 - $150	114%
Ambetter / Centene	$619 - $1,241	696%
Nhc Advantage	$632 - $1,268	711%
Wppa Providrs Care Network	$665 - $1,334	748%
Universal Healthcare	$1,164 - $2,335	1309%
Coventry	$1,337 - $2,682	1504%
Coventry Kc Mo	$1,364 - $2,735	1534%
College Park Family Care Center	$1,430 - $2,869	1608%
Cco, Inc.	$2,828 - $5,671	3181%
Focus Healthcare Mgmt, Inc	$2,994 - $6,005	3367%

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 $4,999.
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 Belton Regional 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.