X-ray, hand
Facility: Overland Park Reg Med Ctr
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $565
- Cash Discount Price: $1,994
- vs. Medicare Baseline: 6.35x 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 635% of the Medicare baseline (a markup of 535%). 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 |
|---|---|---|
| Multiplan | $30 - $2,092 | 34% |
| Aetna | $34 - $1,442 | 38% |
| Corvel Corporation | $36 - $1,837 | 40% |
| Oha Network | $37 - $1,413 | 42% |
| Humana | $43 - $56 | 48% |
| Blue Cross Blue Shield | $43 - $1,215 | 48% |
| Amerigroup | $49 | 55% |
| United | $49 - $1,272 | 55% |
| Medicaid / KanCare | $50 | 56% |
| Healthyblue | $50 | 56% |
| Unicare | $51 | 57% |
| Home State Health Plan | $79 | 89% |
| Cigna | $101 - $150 | 114% |
| Ambetter / Centene | $240 - $526 | 270% |
| Nhc Advantage | $245 - $537 | 276% |
| Wppa Providrs Care Network | $258 - $565 | 290% |
| Universal Healthcare | $451 - $989 | 507% |
| Coventry | $518 - $1,136 | 583% |
| Coventry Kc Mo | $528 - $1,159 | 594% |
| College Park Family Care Center | $554 - $1,215 | 623% |
| Focus Healthcare Mgmt, Inc | $966 - $2,120 | 1086% |
| Triwest Health Alliance | $966 - $2,120 | 1086% |
| Cco, Inc. | $966 - $2,120 | 1086% |
Consumer Guidance & Cost Commentary
For the X-ray of the hand (CPT 73130) at Overland Park Reg Med Ctr, the cash price is $1,994, which matches the facility's cash median. This rate is significantly higher than the Medicare benchmark of $88.91, reflecting a markup of 6.4 times the federal baseline. While the facility offers a negotiated rate of $565 for in-network patients, this amount still exceeds the Medicare amount. For patients with high-deductible plans, paying the cash price of $1,994 upfront may be more cost-effective than using insurance, as the negotiated rate often includes administrative overhead that inflates the baseline price. Patients should verify their deductible status before scheduling and ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full within a short window.
The facility's pricing structure varies by payer, with negotiated rates ranging from $30 to $2,120 across 23 different insurance plans. Notably, the lowest negotiated rates found in the data are $30 (Multiplan) and $34 (Aetna), which are substantially lower than the facility's cash price. However, these lower rates are contractual ceilings that prevent billing the full chargemaster gross price of $1,994. It is important to note that even though the facility is in-network for many plans, balance billing could still occur for out-of-network ancillary services like emergency physicians or lab tests, though the No Surprises Act protects against this for non-emergency services at in-network facilities. To ensure