X-ray, shoulder
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $81
- Cash Discount Price: $160
- vs. Medicare Baseline: 0.91x 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 |
|---|---|---|
| UnitedHealthcare | $7 - $228 | 8% |
| Medicaid / KanCare | $8 - $77 | 9% |
| Aetna | $8 - $77 | 9% |
| Providrs Care | $12 - $43 | 13% |
| Tricare | $46 | 52% |
| Humana | $81 - $82 | 91% |
| Medicare (plans) | $81 - $83 | 91% |
| Va | $81 | 91% |
| Smarthealth | $114 | 128% |
| Ambetter / Centene | $138 | 155% |
| Blue Cross Blue Shield | $152 - $160 | 171% |
Consumer Guidance & Cost Commentary
For the X-ray, shoulder procedure (CPT 73030) at Ascension Via Christi Hospital Manhattan, Inc., the cash price is $160.00, which is significantly lower than the facility's gross charge of $399.00. While the facility's negotiated rates with major payers like UnitedHealthcare and Medicaid/KanCare range from $7 to $83, the cash price remains the most transparent baseline for self-pay patients. It is important to note that for patients with high-deductible plans, paying the cash price upfront can sometimes be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount. Additionally, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the final bill by bypassing administrative claim processing costs.
This facility's pricing is evaluated against the Medicare benchmark of $88.91, which serves as the objective baseline for healthcare delivery costs. The cash price of $160.00 represents a markup relative to this federal rate, consistent with how commercial rates are often structured to cover administrative overhead and provider costs. While the facility is located in Manhattan, KS, and holds a 4-star rating, the specific data provided does not include comparative averages for the state or county to determine if the facility's rates are higher or lower than regional norms. Consumers are advised to request an itemized billing audit if they receive a summary bill, as over 80% of hospital invoices contain errors such as unbundled codes or services not rendered. Furthermore, under the No Surprises Act, patients are protected from balance billing for out