X-ray, hand
Facility: Menorah Medical Center
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $699
- Cash Discount Price: $2,760
- vs. Medicare Baseline: 7.86x 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 786% of the Medicare baseline (a markup of 686%). 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 - $2,722 | 34% |
| Aetna | $34 - $1,876 | 38% |
| Corvel Corporation | $36 - $2,391 | 40% |
| Oha Network | $37 - $1,840 | 42% |
| Humana | $43 - $56 | 48% |
| Blue Cross Blue Shield | $43 - $1,656 | 48% |
| Amerigroup | $49 | 55% |
| United | $49 - $1,656 | 55% |
| Medicaid / KanCare | $50 | 56% |
| Healthyblue | $50 | 56% |
| Unicare | $51 | 57% |
| Home State Health Plan | $79 | 89% |
| Cigna | $101 - $2,943 | 114% |
| Ambetter / Centene | $342 - $684 | 385% |
| Nhc Advantage | $350 - $699 | 394% |
| Wppa Providrs Care Network | $368 - $736 | 414% |
| Universal Healthcare | $644 - $1,288 | 724% |
| Coventry | $740 - $1,479 | 832% |
| Coventry Kc Mo | $754 - $1,508 | 848% |
| College Park Family Care Center | $791 - $1,582 | 890% |
| Triwest Health Alliance | $1,380 - $2,759 | 1552% |
| Cco, Inc. | $1,380 - $2,759 | 1552% |
| Focus Healthcare Mgmt, Inc | $1,380 - $2,759 | 1552% |
Consumer Guidance & Cost Commentary
For the X-ray of the hand (CPT 73130) at Menorah Medical Center in Overland Park, Kansas, the cash price is $2,760.00, which matches the facility's cash median. This rate is significantly higher than the state average, as indicated by a 7.9% variance versus Medicare benchmarks. While many insurance plans have negotiated rates ranging from $30 to $2,943 depending on the carrier, patients with high-deductible plans may find the cash price more affordable if their insurance negotiated rate exceeds this amount. It is important to note that commercial negotiated rates often include administrative overhead and can be inflated compared to the true cost of care represented by Medicare benchmarks.
Patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the bill by 20% to 50% by bypassing costly insurance claims processing. Additionally, if you are using insurance, be aware that balance billing could occur if out-of-network services are rendered, though the No Surprises Act protects you from such unexpected charges for emergency care and non-emergency services at in-network facilities. To ensure you are not overcharged, always request a full itemized bill before paying and verify that all services listed were actually rendered, as over 80% of hospital bills contain errors that can be corrected through a formal audit dispute.