X-ray, hand
Facility: Salina Regional Health Center
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $548
- Cash Discount Price: $426
- vs. Medicare Baseline: 6.16x 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 616% of the Medicare baseline (a markup of 516%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $143 - $150 | 161% |
| Preferred Phsic | $365 | 411% |
| Preferred Healthcare - All Other Plans | $493 | 554% |
| Cigna | $548 | 616% |
| Multiplan (Mpi)-All Plans | $548 | 616% |
| Providers Care (Wppa)-All Plans | $548 | 616% |
| Aetna | $548 | 616% |
Consumer Guidance & Cost Commentary
For this X-ray of the hand at Salina Regional Health Center in Salina, KS, the facility's cash median price is $426.00, which is lower than the state average of $493.00. While the facility's negotiated rates with major payers like Blue Cross Blue Shield and Aetna range between $143 and $548, patients with high-deductible plans may find the cash price more advantageous if their insurance allows a higher amount than the cash rate. It is important to note that commercial negotiated rates often include administrative overhead and can exceed cash prices; therefore, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can significantly reduce out-of-pocket costs.
When reviewing your final bill, be cautious of summary invoices that obscure individual charges, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. If you receive a bill, request a full itemized statement showing specific CPT codes to identify any services not rendered or unnecessary charges. Additionally, while the facility's gross charge is $609.00, the Medicare benchmark of $88.91 serves as the true cost baseline, revealing that commercial rates are often marked up significantly above this federal standard. If you encounter unexpected balance billing from out-of-network providers, remember that the No Surprises Act protects you from paying the difference for emergency care and non-emergency services at in-network facilities, so you should dispute any surprise charges in writing rather than accepting them immediately.