X-ray, hand
Facility: Kansas Surgery & Recovery Center
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $81
- Cash Discount Price: $190
- 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 | $42 - $80 | 47% |
| Blue Cross Blue Shield | $80 - $104 | 90% |
| Triwest | $80 | 90% |
| UnitedHealthcare | $81 - $191 | 91% |
| Cigna | $191 | 215% |
Consumer Guidance & Cost Commentary
For this X-ray of the hand at Kansas Surgery & Recovery Center in Wichita, KS, the cash price is $190.00, which is nearly identical to the facility's gross charge of $191.00. While the facility's negotiated rates with major payers like Aetna and Blue Cross Blue Shield range from $42 to $104, and UnitedHealthcare and Cigna have rates of $81 and $191 respectively, patients with high-deductible plans may find paying the cash price directly more cost-effective. This is because the cash rate of $190.00 is lower than the negotiated rates charged to UnitedHealthcare and Cigna members, and potentially lower than the out-of-pocket maximums for some plans. It is important to verify your specific plan's deductible status before scheduling, as paying the cash price upfront can bypass administrative fees and potential surprise balance billing if you are out-of-network.
To ensure you are receiving the best possible rate, we recommend requesting a "prompt-pay" discount from the facility, which can reduce the bill by 20% to 50% if paid in full within 30 days. Additionally, always demand an itemized billing audit rather than accepting a summary bill, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. When evaluating the facility's pricing, it is crucial to compare rates against the Medicare benchmark of $88.91 rather than the inflated chargemaster list; the facility's cash rate is approximately 214% of the Medicare amount, which is higher than the typical fair pricing range of 120