X-ray, hand
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $81
- Cash Discount Price: $143
- vs. Medicare Baseline: 0.91x 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 |
|---|---|---|
| Aetna | $7 - $77 | 8% |
| Medicaid / KanCare | $7 - $77 | 8% |
| UnitedHealthcare | $7 - $228 | 8% |
| Providrs Care | $11 - $46 | 12% |
| Tricare | $46 | 52% |
| Va | $81 | 91% |
| Humana | $81 - $82 | 91% |
| Medicare (plans) | $81 - $83 | 91% |
| Smarthealth | $114 | 128% |
| Ambetter / Centene | $138 | 155% |
| Blue Cross Blue Shield | $148 - $156 | 166% |
Consumer Guidance & Cost Commentary
For this X-ray of the hand at Ascension Via Christi Hospital Manhattan, Inc, the facility's cash price of $143.00 is significantly lower than the median negotiated rate of $81.00 reported for this service, suggesting that paying out-of-pocket may be the most cost-effective option for patients without insurance or with high-deductible plans. While the facility's cash rate is well below the gross charge of $358.00, it is important to note that commercial insurance carriers typically negotiate rates that are higher than cash prices due to administrative overhead and contract structures. For instance, UnitedHealthcare's negotiated range spans from $7 to $228, and Medicare plans average $88.91, meaning patients relying on these payers could face bills exceeding the cash-pay amount unless they qualify for specific discounts.
To minimize unexpected costs, patients should proactively request "self-pay" or "prompt-pay" discounts before scheduling, as these programs often offer reductions of 20% to 50% for upfront payment and bypass costly insurance billing cycles. If you are billed a high amount after an insurance claim, you should demand a full itemized CPT-coded bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, under the No Surprises Act, you are protected from balance billing for out-of-network providers at in-network facilities, so any surprise bill should be disputed in writing with your insurer rather than paid immediately to avoid credit damage.