X-ray, hand
Facility: Ashland Health Center
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $190
- Cash Discount Price: $152
- vs. Medicare Baseline: 2.14x 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 214% of the Medicare baseline (a markup of 114%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $64 | 72% |
| Compalliance-All Plans | $152 | 171% |
| Health Partners Of Kansas-All Plans | $162 | 182% |
| Multiplan-All Plans | $186 | 209% |
| Healthy Blue Mcr Adv - All Other Plans | $190 | 214% |
| Medicare (plans) | $190 | 214% |
| Medicaid / KanCare | $190 | 214% |
| Health Choice-All Plans | $190 | 214% |
| UnitedHealthcare | $190 | 214% |
| Medica Mcare - All Plans | $190 | 214% |
| Aetna | $190 | 214% |
| Providers Care (Wppa)-All Plans | $285 | 321% |
Consumer Guidance & Cost Commentary
For the X-ray of the hand (CPT 73130) at Ashland Health Center in Ashland, KS, the facility's negotiated rates align exactly with the median paid amount of $190.00, which matches the gross charge and the negotiated rate for all listed payers. This $190.00 rate is significantly higher than the cash median of $152.00, meaning patients paying out-of-pocket could save $38.00 by settling the bill directly. While Medicare sets a benchmark of $88.91 for this service, commercial rates here are roughly 214% of that federal baseline, reflecting the standard administrative markup inherent in insurance contracts. Because the negotiated rate exceeds the cash price, patients with high-deductible plans might find it financially advantageous to pay the cash rate of $152.00, provided they have the funds available and can secure a prompt-pay discount to further reduce the cost.
Ashland Health Center, a Critical Access Hospital in Kansas, reports a median negotiated rate of $190.00, which is identical to the facility's gross charge and the rates accepted by major insurers including Blue Cross Blue Shield, UnitedHealthcare, and Medicaid/KanCare. This consistency across 12 different payer plans indicates that the facility has a uniform pricing structure where the insurance allowed amount equals the full list price for this specific procedure. Given that the cash price is lower than the insurance negotiated rate, consumers should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can bypass the higher insurance-determined ceiling. It is also important to request