X-ray, hand
Facility: St. Catherine Hospital - Garden City
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $184
- Cash Discount Price: $255
- vs. Medicare Baseline: 2.07x 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 207% of the Medicare baseline (a markup of 107%). 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 |
|---|---|---|
| Kaiser | $25 - $333 | 28% |
| Blue Cross Blue Shield | $25 - $162 | 28% |
| Aetna | $25 - $290 | 28% |
| Kansas Health | $25 | 28% |
| Cigna | $25 - $127 | 28% |
| UnitedHealthcare | $25 - $214 | 28% |
| Humana | $25 - $29 | 28% |
| Medicare (plans) | $25 - $29 | 28% |
| Innovage | $29 | 33% |
| Devoted Health | $29 | 33% |
| Direct To Employer | $75 - $484 | 84% |
| Centura Employee Plan | $91 | 102% |
| Peak Health | $99 - $472 | 111% |
| Multiplan | $134 - $1,028 | 151% |
| United Colorado Doctor'S Plan | $182 | 205% |
| Wpaa | $186 - $242 | 209% |
| Christian Health Aid | $212 - $276 | 238% |
| Denver Health | $219 - $285 | 246% |
| Health Partners Of Kansas | $257 - $335 | 289% |
Consumer Guidance & Cost Commentary
For this X-ray of the hand at St. Catherine Hospital in Garden City, KS, the cash median price is $255.00, which is significantly lower than the facility's gross charge of $638.00. While the facility is a voluntary non-profit church-owned acute care hospital, patients should note that their insurance negotiated rates vary widely; for example, Kaiser's internal rate is $25, while Multiplan's rate reaches up to $1,028. Because commercial negotiated rates often include administrative overhead and can exceed cash prices, paying out-of-pocket may result in lower costs for patients with high-deductible plans. It is advisable to contact the hospital directly to confirm if they offer self-pay or prompt-pay discounts, which can further reduce the final amount owed.
When comparing pricing, the facility's cash median of $255.00 is notably higher than the state average for this procedure, though specific county averages were not provided in the data. The Medicare benchmark for this service is $88.91, serving as a baseline to evaluate the facility's pricing structure; commercial rates are often marked up significantly above this federal rate. Patients should be aware of balance billing risks if they receive care from out-of-network providers, where the hospital could bill the difference between the provider's full charge and the insurance allowed amount. To avoid unexpected costs, consumers should request an itemized billing audit to identify any unbundled codes or services not rendered, and they should dispute any surprise bills in writing rather than accepting summary invoices or signing away rights without reading the terms.