X-ray, hand
Facility: Wesley Medical Center
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $639
- Cash Discount Price: $2,878
- vs. Medicare Baseline: 7.19x 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 719% of the Medicare baseline (a markup of 619%). 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 |
|---|---|---|
| First Health | $36 - $1,769 | 40% |
| Multiplan | $37 - $3,453 | 42% |
| UnitedHealthcare | $49 | 55% |
| Medicaid / KanCare | $50 | 56% |
| Aetna | $51 - $1,370 | 57% |
| Amerigroup | $51 | 57% |
| Blue Cross Blue Shield | $157 | 177% |
| United | $182 - $1,727 | 205% |
| Health Partners Of Kansas | $332 - $1,918 | 373% |
| Wppa | $334 - $668 | 376% |
| Ambetter / Centene | $345 - $691 | 388% |
| Preferred Health Choices | $362 - $725 | 407% |
| Medical Associates Health Plan | $362 - $725 | 407% |
| Spirit Aerosystems | $614 - $1,228 | 691% |
| Triwest Healthcare Alliance | $1,247 - $2,494 | 1403% |
| Usa Managed Care | $1,630 - $3,261 | 1833% |
Consumer Guidance & Cost Commentary
For this X-ray of the hand at Wesley Medical Center in Wichita, KS, the cash price is $2,878.00, which matches the facility's reported median paid amount. While the facility's negotiated rates with insurance payers range from $36 to $3,453, the cash price is notably lower than the highest negotiated rates found for this service. It is important to note that for patients with high-deductible plans, paying the cash price upfront can sometimes be more cost-effective than relying on insurance, especially if the insurer's negotiated rate exceeds the cash price. Additionally, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by bypassing administrative claim processing fees.
When evaluating this cost, it is crucial to compare rates against objective benchmarks rather than the hospital's inflated chargemaster list. The Medicare benchmark for this procedure is $88.91, which serves as a scientifically validated baseline for the true cost of care. Commercial negotiated rates often average 200% to 300% of the Medicare rate, though fair pricing is typically defined as 120% to 150% of this amount. If you receive a bill that appears to be a surprise balance bill, remember that the No Surprises Act protects you from being charged the difference between the provider's full rate and your insurance's allowed amount for emergency care or non-emergency services at in-network facilities. Always request a detailed, itemized bill to verify that no unbundled codes or services not rendered have been charged, as over 80% of hospital bills contain errors that can be corrected through a formal