X-ray, hand
Facility: Centura St. Catherine-Dodge City
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $496
- Cash Discount Price: $310
- vs. Medicare Baseline: 5.58x 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 558% of the Medicare baseline (a markup of 458%). 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 |
|---|---|---|
| Cigna | $25 | 28% |
| Kaiser | $25 | 28% |
| Blue Cross Blue Shield | $25 - $161 | 28% |
| Kansas Health | $25 | 28% |
| Humana | $25 | 28% |
| Aetna | $25 - $744 | 28% |
| Medicare (plans) | $25 | 28% |
| Centura Employee Plan | $91 | 102% |
| UnitedHealthcare | $408 - $612 | 459% |
| Wpaa | $434 - $651 | 488% |
| Christian Health Aid | $496 - $744 | 558% |
| Multiplan | $496 - $837 | 558% |
| Health Partners Of Kansas | $558 - $837 | 628% |
Consumer Guidance & Cost Commentary
For the CPT code 73130 (X-ray, hand) at Centura St. Catherine-Dodge City, the facility's cash median price of $310.00 is significantly lower than the state average of $496.00. While the facility's gross charge is $775.00, commercial payers negotiate rates that often exceed the cash price; for instance, Aetna's range spans from $25 to $744, and UnitedHealthcare's range is $408 to $612. This disparity highlights that for patients with high-deductible plans, paying cash upfront can be more cost-effective than relying on insurance, as the negotiated allowed amounts frequently surpass the cash-pay rate. Additionally, the facility offers a prompt-pay discount for upfront payment, which can further reduce the final bill by bypassing administrative processing fees and insurance claim cycles.
When comparing pricing against federal benchmarks, the Medicare amount of $88.91 serves as the objective baseline for evaluating the facility's markup. The facility's cash price of $310.00 represents approximately 3.5 times the Medicare rate, while the median negotiated rate of $496.00 is roughly 5.6 times the Medicare amount. It is important to note that while Medicare rates reflect the true cost of care delivery, commercial rates include additional administrative layers that can inflate the baseline price. Patients should verify their specific plan details before scheduling, as some integrated systems like Kaiser may apply internal rates that differ from typical negotiated rates, and others like Blue Cross Blue Shield show a wide variance between their lowest and highest allowed amounts.