X-ray, hand
Facility: Kansas Medical Center Llc
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $76
- Cash Discount Price: $108
- vs. Medicare Baseline: 0.85x 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 | $45 | 51% |
| Medicaid / KanCare | $49 | 55% |
| Wppa | $72 | 81% |
| Tricare | $72 | 81% |
| Indian Health | $72 | 81% |
| Medadv_Wellcare | $80 | 90% |
| Ambetter / Centene | $80 | 90% |
| Blue Cross Blue Shield | $80 - $130 | 90% |
| Humana | $80 | 90% |
| United | $84 | 94% |
| Three_Rivers | $160 | 180% |
Consumer Guidance & Cost Commentary
For the X-ray of the hand (CPT 73130) at Kansas Medical Center Llc in Andover, KS, the facility's cash median price is $108.00, which is lower than the state average of $180.00. While the Medicare benchmark rate for this service is $88.91, the facility's cash price exceeds the federal baseline by approximately 20%. Patients with high-deductible plans may find paying the cash price directly more cost-effective than using insurance, as the negotiated rates for commercial payers range from $45 to $130, often exceeding the cash amount. It is important to note that while the facility offers a cash median of $108.00, the median negotiated rate across all payers is $76.00, suggesting that some insurance plans may result in lower out-of-pocket costs depending on the specific deductible status and plan tier.
To minimize costs, patients should verify their specific plan's deductible status before scheduling, as many commercial payers have negotiated rates that can be higher than the cash price if the patient has not yet met their deductible threshold. Additionally, patients should proactively ask the billing department about "self-pay" or "prompt-pay" discounts, which can range from 20% to 50% off the billed amount for upfront payment. Since the facility is an acute care hospital with proprietary ownership, it is advisable to request an itemized billing audit before finalizing payment to ensure no unbundled codes or services not rendered are included in the final invoice. Comparing the facility's rates to the state average reveals that while the cash price is competitive, the wide