X-ray, hand
Facility: Pratt Regional Medical Center
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $67
- Cash Discount Price: $52
- vs. Medicare Baseline: 0.75x 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 |
|---|---|---|
| Christian Health Aid | $18 - $355 | 20% |
| UnitedHealthcare | $20 - $482 | 22% |
| Health Partners Of Kansas | $20 - $402 | 22% |
| Aetna | $22 - $426 | 25% |
| Choicecare | $24 - $473 | 27% |
| Celtic Insurance Company | $84 | 94% |
| Healthy Blue | $87 | 98% |
Consumer Guidance & Cost Commentary
For this X-ray of the hand at Pratt Regional Medical Center in Pratt, KS, the facility's cash price of $52.00 is significantly lower than the gross chargemaster of $75.00. While the data does not provide specific state or county average comparisons for this service, the cash rate offers a clear baseline for patients with high-deductible plans or those without insurance. In such cases, paying the cash price directly can be more cost-effective than relying on insurance, which often results in higher out-of-pocket costs if the negotiated rate exceeds the cash amount. Patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the total cost by bypassing administrative processing fees and insurance claim cycles.
The facility's negotiated rates vary widely among payers, ranging from a low of $18.00 with Christian Health Aid to a high of $482.00 with UnitedHealthcare, with a median negotiated rate of $67.00. It is important to note that these negotiated rates are often higher than the cash price due to the administrative costs and contract structures inherent in insurance billing. Furthermore, while the No Surprises Act protects patients from balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, patients should still review their itemized bills carefully. If a bill contains errors, double-billing, or unbundled codes, consumers should request a formal written audit dispute rather than accepting summary invoices or settling verbally, as over 80% of hospital bills contain errors that can be corrected.