X-ray, hand
Facility: Providence Medical Center
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $82
- Cash Discount Price: $81
- vs. Medicare Baseline: 0.92x 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 | $34 - $82 | 38% |
| Comp Alliance - Fka Compresults Worker Compensation | $34 | 38% |
| Oha Networks | $36 | 40% |
| Worker Compensation | $38 | 43% |
| Medicaid / KanCare | $49 | 55% |
| UnitedHealthcare | $74 - $115 | 83% |
| Celtic | $75 - $131 | 84% |
| Healthy Blue | $75 - $86 | 84% |
| Cigna | $82 | 92% |
| Tricare | $82 | 92% |
| Midland Care Connection | $82 | 92% |
| Medicare (plans) | $82 | 92% |
| Kansas Superior Select | $86 | 97% |
| Corizon | $107 | 120% |
| Employer Direct Healthcare | $115 | 129% |
| Well Path Prison | $115 | 129% |
| Centurion | $123 | 138% |
| Naphcare | $127 | 143% |
| Blue Cross Blue Shield | $131 - $212 | 147% |
| First Health | $750 | 844% |
Consumer Guidance & Cost Commentary
For the X-ray of the hand (CPT 73130) at Providence Medical Center in Kansas City, KS, the facility's cash median rate is $81.00, which is significantly lower than the state average of $279.00. While commercial insurance plans like UnitedHealthcare and Celtic negotiate rates ranging from $74 to $131, these amounts often exceed the cash price due to administrative overhead and contract structures. Under Medicare benchmarking principles, the facility's rate is 0.9 times the Medicare amount of $88.91, indicating pricing that aligns closely with the federal cost baseline rather than the inflated chargemaster lists patients sometimes see. Because commercial negotiated rates frequently include multi-layered administrative costs that can inflate the baseline price by 20% to 40%, patients with high-deductible plans may find paying the cash rate directly more cost-effective than relying on insurance reimbursement.
Patients should proactively contact the hospital to inquire about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid upfront, bypassing the costly claims processing cycle. It is important to verify that the facility is in-network for your specific plan, as in-network status does not guarantee the lowest possible price, and to check your deductible status before scheduling to avoid unexpected out-of-pocket expenses. If you receive a bill, always request a full itemized statement to identify any errors, double-billing, or unbundled codes, as over 80% of hospital bills contain inaccuracies that can be corrected through a formal written audit dispute.