X-ray, hand
Facility: Wichita County Health Center
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $373
- Cash Discount Price: $327
- vs. Medicare Baseline: 4.20x 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 420% of the Medicare baseline (a markup of 320%). 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 |
|---|---|---|
| Medicaid / KanCare | $337 | 379% |
| UnitedHealthcare | $409 | 460% |
Consumer Guidance & Cost Commentary
For this X-ray of the hand at Wichita County Health Center in Leoti, Kansas, the facility's cash price is $327.00, which is lower than the state average of $337.00. While Medicaid / KanCare pays the full negotiated rate of $337.00, UnitedHealthcare pays the same amount, reflecting a consistent in-network agreement for this service. It is important to note that cash-paying patients with high-deductible plans may find the $327.00 self-pay rate more affordable than their insurance allowed amount, especially if their deductible has not yet been met. Patients should always ask the billing office about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fees can reduce the final cost by bypassing administrative processing costs.
The Medicare benchmark for this procedure is $88.91, which serves as a baseline for evaluating the facility's pricing structure. The facility's cash rate of $327.00 represents a significant markup over the federal government's calculated cost, a common practice in the commercial healthcare market where negotiated rates often range between 200% and 300% of Medicare amounts. If you receive a bill that includes charges for services not rendered, unbundled codes, or items that were cancelled, you should request a formal itemized audit to ensure accuracy. Additionally, if you are ever billed for the difference between the provider's full charge and your insurance payment, the No Surprises Act may protect you from balance billing for out-of-network services at in-network facilities, so it is advisable to dispute any unexpected charges in writing rather than paying immediately.