Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC XR SHOULDER MIN 2 VIEW
Dodge City, KS
See all hospitals reporting CPT 73030 →Price type
Commonspirit Kansas, Inc.’s median price of $263 is 106% above the median hospital's median price ($128), higher than 76% of the 2,584 hospitals reporting CPT 73030. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 20 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Aetna managed medicare fee schedule · outpatient | $22.45 | $22.45 | $22.45 – $22.45 |
| 2 | Bcbs Ks managed medicare fee schedule · outpatient | $22.45 | $22.45 | $22.45 – $22.45 |
| 3 | Cigna managed medicare fee schedule · outpatient | $22.45 | $22.45 | $22.45 – $22.45 |
| 4 | Humana managed medicare fee schedule · outpatient | $22.45 | $22.45 | $22.45 – $22.45 |
| 5 | Kaiser managed medicare fee schedule · outpatient | $22.45 | $22.45 | $22.45 – $22.45 |
| 6 | Medicare medicare fee schedule · outpatient | $22.45 | $22.45 | $22.45 – $22.45 |
| 7 | Medicare medicare other · inpatient | $87.21 | $87.21 | $87.21 – $87.21 |
| 8 | Bcbs Ks commercial ppo/hmo other · inpatient | $163.97 | $163.97 | $163.97 – $163.97 |
| 9 | Bcbs Ks commercial ppo/hmo fee schedule · outpatient | $164.95 | $164.95 | $164.95 – $164.95 |
| 10 | Bcbs Ks managed medicare other · inpatient | $164.96 | $164.96 | $164.96 – $164.96 |
| 11 | Cigna managed medicare other · inpatient | $263.05 | $263.05 | $263.05 – $263.05 |
| 12 | Aetna managed medicare other · inpatient | $283.92 | $283.92 | $283.92 – $283.92 |
| 13 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · inpatientfrom % of charges | $618.36 | $618.36 | $494.69 – $742.03 |
| 14 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges | $618.36 | $618.36 | $494.69 – $742.03 |
| 15 | Aetna commercial ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges | $657.84 | $657.84 | $526.27 – $789.40 |
| 16 | Aetna commercial ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges | $751.81 | $751.81 | $601.45 – $902.17 |
| 17 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $751.81 | $751.81 | $601.45 – $902.17 |
| 18 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $751.81 | $751.81 | $601.45 – $902.17 |
| 19 | MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges | $845.79 | $845.79 | $676.63 – $1,015 |
| 20 | MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges | $845.79 | $845.79 | $676.63 – $1,015 |
Last updated: Feb 5, 2026
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