X-ray, hand
Facility: Kansas Spine & Specialty Hospital, Llc
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $80
- Cash Discount Price: $239
- vs. Medicare Baseline: 0.90x 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 |
|---|---|---|
| Humana | $78 | 88% |
| Aetna | $80 - $100 | 90% |
| Providrs Care Network | $80 | 90% |
| Blue Cross Blue Shield | $80 | 90% |
| UnitedHealthcare | $80 - $97 | 90% |
| United Mine Workers Of America | $80 | 90% |
| Lantern Specialty Care | $128 | 144% |
Consumer Guidance & Cost Commentary
For the X-ray, hand procedure (CPT 73130) at Kansas Spine & Specialty Hospital, Llc in Wichita, KS, the facility's cash median rate is $239.00, which is significantly higher than the state average of $107.00. While the facility's negotiated rates with major payers like Aetna, UnitedHealthcare, and Blue Cross Blue Shield range between $80 and $100, these amounts often exceed the cash price for patients with high-deductible plans. In such cases, paying the cash median of $239.00 upfront can be more cost-effective than relying on insurance, which may result in higher out-of-pocket costs if the patient's deductible has not yet been met. Patients should explicitly ask the hospital for "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing administrative claim processing fees.
When comparing the facility's pricing to federal benchmarks, the Medicare amount for this service is $88.91. The facility's cash rate of $239.00 represents a markup of approximately 2.7 times the Medicare rate, which is notably higher than the typical fair pricing range of 120% to 150% of Medicare. Although the facility is owned by physicians and located in a rural area (ZIP 67226), the high cash rate suggests a significant difference between the facility's cost structure and the federal baseline. Consumers should be aware that the facility's gross charge of $368.00 is the starting point