X-ray, hand
Facility: Saint John Hospital
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $82
- Cash Discount Price: $81
- vs. Medicare Baseline: 0.92x 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 |
|---|---|---|
| Comp Alliance Workers Comp | $34 | 38% |
| Oha Networks | $36 | 40% |
| Worker Compensation | $38 | 43% |
| Medicaid / KanCare | $49 | 55% |
| Aetna | $54 - $82 | 61% |
| Blue Cross Blue Shield | $65 - $137 | 73% |
| UnitedHealthcare | $74 - $115 | 83% |
| Celtic | $75 - $131 | 84% |
| Healthy Blue | $75 - $86 | 84% |
| Medicare (plans) | $82 | 92% |
| Midland Care Connection | $82 | 92% |
| Tricare | $82 | 92% |
| Cigna | $82 | 92% |
| Kansas Superior Select | $84 | 94% |
| Employer Direct Healthcare | $115 | 129% |
| Well Path | $115 | 129% |
| Corizon | $115 | 129% |
| Centurion | $123 | 138% |
| Naphcare | $127 | 143% |
Consumer Guidance & Cost Commentary
For the X-ray of the hand (CPT 73130) at Saint John Hospital in Leavenworth, KS, the cash price is $81.00, which is significantly lower than the facility's negotiated rates with major insurers. While the hospital's cash rate is well below the state average of $114.80, patients with high-deductible plans should consider paying cash directly, as the insurance negotiated rates for this service range from $34 to $137 depending on the payer. It is important to note that commercial insurance rates often include administrative overhead and do not reflect the true cost of care; the Medicare benchmark for this procedure is $88.91, which serves as a more accurate baseline for evaluating fair pricing.
Before scheduling, patients should explicitly request a "self-pay" or "prompt-pay" discount, as hospitals often offer additional reductions for upfront payments that bypass the insurance billing cycle. If a patient receives an itemized bill, they should demand a full line-by-line audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain mistakes that can be corrected. Additionally, if a patient encounters an unexpected balance bill from an out-of-network provider, they should not pay immediately but instead dispute the charge with their insurer to invoke federal protections under the No Surprises Act, ensuring they are not liable for the difference between the provider's chargemaster and the allowed amount.