X-ray, shoulder
Facility: Salina Regional Health Center
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $151
- Cash Discount Price: $243
- vs. Medicare Baseline: 1.70x 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 |
|---|---|---|
| Preferred Phsic | $47 - $370 | 53% |
| Preferred Healthcare - All Other Plans | $64 - $500 | 72% |
| Cigna | $71 - $555 | 80% |
| Providers Care (Wppa)-All Plans | $71 - $555 | 80% |
| Aetna | $71 - $555 | 80% |
| Multiplan (Mpi)-All Plans | $71 - $555 | 80% |
| Blue Cross Blue Shield | $147 - $155 | 165% |
Consumer Guidance & Cost Commentary
For the X-ray, shoulder procedure (CPT 73030) at Salina Regional Health Center in Salina, KS, the facility's cash median price is $243.00, which is notably lower than the negotiated rates paid by insurance plans ranging from $71 to $555. This price difference highlights a common billing dynamic where cash-pay options can be significantly cheaper than insurance reimbursement, particularly for patients with high-deductible plans who may face out-of-pocket costs exceeding the cash price. While the facility's negotiated rates average $151.00, which is higher than the cash rate, patients should verify their specific plan's deductible status and ask directly about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can reduce the final bill by 20% to 50%.
When evaluating the cost of this service, it is important to compare rates against the Medicare benchmark rather than the hospital's full chargemaster list. The Medicare amount for this code is $88.91, and the facility's cash rate of $243.00 represents a markup of 1.7 times the Medicare rate, which aligns with typical commercial pricing structures. Since commercial negotiated rates often include administrative overhead and contract premiums, the cash price serves as a more transparent baseline for understanding the true cost of care. Consumers should be aware that balance billing can occur if a patient receives out-of-network services, but the No Surprises Act provides federal protections against surprise bills for emergency and non-emergency care at in-network facilities, making it essential to request an itemized bill and dispute any unexpected charges before signing consent waivers.