X-ray, hand
Facility: Kansas Heart Hospital
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $135
- Cash Discount Price: $94
- vs. Medicare Baseline: 1.52x 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 |
|---|---|---|
| Wppa - All Plans | $60 | 67% |
| Tricare | $72 | 81% |
| Medicaid / KanCare | $80 - $150 | 90% |
| Humana | $80 | 90% |
| Celtic Mcr Adv | $80 | 90% |
| UnitedHealthcare | $80 - $150 | 90% |
| Blue Cross Blue Shield | $102 - $150 | 115% |
| Multiplan - All Plans | $135 | 152% |
| Aetna | $146 - $150 | 164% |
| Celtic Mcaid - All Other Plans | $150 | 169% |
| Soonerselect Mcaid - All Plans | $150 | 169% |
Consumer Guidance & Cost Commentary
For this X-ray of the hand at Kansas Heart Hospital in Wichita, the negotiated rates paid by insurance plans range from $60 to $150, with a median negotiated amount of $135. This is notably higher than the facility's cash price of $94 and exceeds the state average for this procedure. While commercial insurance contracts often result in higher out-of-pocket costs due to administrative fees and claim processing, patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the $94 rate is lower than the average insurance allowed amount. To secure the best possible rate, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, which can significantly reduce the final bill.
It is important to understand that commercial rates are not always the lowest available; in fact, the cash price of $94 is lower than the median negotiated rate of $135, illustrating that insurance networks do not guarantee the cheapest option. If you receive a bill that appears to be a balance bill for an out-of-network service, you may be entitled to protections under the No Surprises Act, which bans balance billing for emergency care and non-emergency services at in-network facilities. Furthermore, since over 80% of hospital bills contain errors, you should request a full itemized audit of your statement to identify any unbundled codes, services not rendered, or double-charges before agreeing to pay the total amount.