X-ray, hand
Facility: Stormont Vail Hospital
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $79
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.89x 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 |
|---|---|---|
| Ambetter / Centene | $50 - $75 | 56% |
| UnitedHealthcare | $50 - $75 | 56% |
| Blue Cross Blue Shield | $50 - $263 | 56% |
| Humana | $79 - $81 | 89% |
| Aetna | $79 - $81 | 89% |
Consumer Guidance & Cost Commentary
For this X-ray of the hand at Stormont Vail Hospital in Topeka, KS, the facility's negotiated rates range from $50 to $263 depending on your specific insurance plan, with a median negotiated payment of $81.00. While the hospital is a voluntary non-profit acute care facility, the data indicates that cash-pay options are not available for this service, as the cash median is null. This means patients relying on insurance will pay the negotiated amount rather than a direct cash price. It is important to note that even though insurance often results in higher out-of-pocket costs due to administrative fees and contract structures, cash-pay can sometimes be cheaper for patients with high-deductible plans if the insurance negotiated rate exceeds the cash price; however, in this specific case, no cash discount is listed.
To ensure you are not overcharged, we recommend requesting a full itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. Additionally, if you receive a balance bill for services rendered at an in-network facility, you may be protected under the No Surprises Act, which bans balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities. While the data does not provide a direct comparison to state or county averages for this specific code, understanding that commercial rates often include significant administrative overhead helps clarify why the negotiated amount differs from the Medicare benchmark of $88.91. Always verify your deductible status and ask the hospital directly about any potential self-pay or prompt-pay discounts before scheduling your visit.