X-ray, shoulder
Facility: Centura St. Catherine-Dodge City
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $601
- Cash Discount Price: $376
- vs. Medicare Baseline: 6.76x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 676% of the Medicare baseline (a markup of 576%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 | $22 - $902 | 25% |
| Kaiser | $22 | 25% |
| Humana | $22 | 25% |
| Medicare (plans) | $22 | 25% |
| Cigna | $22 | 25% |
| Blue Cross Blue Shield | $22 - $165 | 25% |
| Kansas Health | $22 | 25% |
| Centura Employee Plan | $91 | 102% |
| UnitedHealthcare | $495 - $742 | 557% |
| Wpaa | $526 - $789 | 592% |
| Christian Health Aid | $601 - $902 | 676% |
| Multiplan | $601 - $1,015 | 676% |
| Health Partners Of Kansas | $677 - $1,015 | 761% |
Consumer Guidance & Cost Commentary
For this X-ray of the shoulder at Centura St. Catherine-Dodge City, the facility's cash median price is $376.00, which is significantly lower than the state average of $601.00. While many commercial payers like UnitedHealthcare and Wpaa have negotiated rates ranging from $495 to $789, patients with high-deductible plans may find that paying the cash price upfront is more cost-effective than relying on insurance, which often processes claims at rates exceeding the cash amount. It is important to note that while some payers like Kaiser and Humana show a low range of $22, this reflects an integrated-system internal rate rather than a typical negotiated rate for out-of-network members.
To minimize costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing administrative claim processing fees. Additionally, since Medicare sets a benchmark of $88.91 for this procedure, commercial negotiated rates often represent a markup; however, the facility's cash rate remains well below the state average, offering a clear path to lower out-of-pocket expenses. Consumers should avoid accepting summary bills and instead request a full itemized statement to ensure no unbundled codes or services not rendered are included in the final charge.