X-ray, hand
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $197
- Cash Discount Price: $98
- vs. Medicare Baseline: 2.22x 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 222% of the Medicare baseline (a markup of 122%). 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 |
|---|---|---|
| Ku Athletics [503200094] | $81 | 91% |
| Workers Comp [503999901] | $81 | 91% |
| UnitedHealthcare | $81 | 91% |
| Medicare (plans) | $83 | 93% |
| Blue Cross Blue Shield | $84 | 94% |
| Allwell [503200078] | $84 | 94% |
| Tricare | $86 | 97% |
| Triwest [503201703] | $86 | 97% |
| Humana | $86 | 97% |
| Hchsync Centrus Health Direct [503999916] | $98 - $230 | 110% |
| Centurion [5032000966] | $106 | 119% |
| Ambetter / Centene | $118 | 133% |
| Wppa [503200056] | $138 - $276 | 155% |
| Alt Wppa [5032000964] | $138 - $276 | 155% |
| Meritain Health [503200039] | $138 - $394 | 155% |
| Alt Carelon Behavioral Health [503200905] | $164 - $328 | 184% |
| Occunet [503999930] | $171 | 192% |
| Fort Hays State Student Athletes [5032000960] | $171 | 192% |
| Allied National [503999937] | $197 - $394 | 222% |
| National Assn Letter Carriers [503200019] | $197 - $394 | 222% |
| Alt Meritain Health [503999911] | $197 - $394 | 222% |
| Aha-Healthcare Preferred [503200050] | $197 - $394 | 222% |
| Aetna | $197 - $394 | 222% |
| First Health [5032000110] | $197 - $394 | 222% |
| Cigna | $197 - $525 | 222% |
| Php [503200005] | $197 - $394 | 222% |
| 6 Degrees Health [503999050] | $203 | 228% |
| Correct Care Solutions [50311253] | $230 - $459 | 259% |
| Advanced Medical Pricing Solutions [503301513] | $257 | 289% |
| Usa Managed Care [503999030] | $295 - $590 | 332% |
Consumer Guidance & Cost Commentary
For the X-ray, hand procedure (CPT 73130) at the University of KS Health System Great Bend Campus, the cash price is $98.00, which is significantly lower than the facility's gross charge of $492.00. While the median negotiated rate across 30 payers is $197.00, patients with high-deductible plans may find the cash price more affordable if their insurance allowed amount exceeds $98.00. It is important to note that commercial negotiated rates often include administrative overhead and can be higher than the cash price due to the costs of claims processing and contract management. Patients should verify their specific plan's allowed amount before scheduling, as paying the full negotiated rate without meeting a deductible can result in higher out-of-pocket costs than paying cash directly.
The facility's pricing structure is benchmarked against Medicare, which sets a fixed reimbursement rate of $88.91 for this service. The cash price of $98.00 is approximately 110% of the Medicare rate, aligning closely with the fair pricing range of 120% to 150% often cited for commercial rates, whereas the gross charge represents a substantial markup. To minimize costs, patients should inquire about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. Additionally, if a patient receives care from an out-of-network provider at this in-network facility, they are protected by the No Surprises Act from being balance billed for emergency or non-emergency services, and they should request a formal itemized audit if they receive