X-ray, hand
Facility: Rawlins County Health Center
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $296
- Cash Discount Price: $289
- vs. Medicare Baseline: 3.33x 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 333% of the Medicare baseline (a markup of 233%). 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 | $137 | 154% |
| UnitedHealthcare | $296 | 333% |
Consumer Guidance & Cost Commentary
For the X-ray of the hand at Rawlins County Health Center in Atwood, Kansas, the cash price is $289, which is lower than the facility's negotiated rate of $296 and the Medicare benchmark of $88.91. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should note that commercial insurance rates can sometimes exceed cash prices due to administrative overhead and contract dynamics. If you have a high-deductible plan where your deductible has not yet been met, paying the cash price of $289 upfront may result in immediate savings compared to having your insurance negotiate a rate that could be higher than the cash amount.
To ensure you are not overcharged, it is important to understand that hospitals often issue summary bills that obscure individual line items, making it difficult to spot errors or unbundled charges. Before paying, request a full itemized statement to verify that all services rendered are accurately coded and that no unnecessary fees are included. Additionally, if you are self-pay, ask specifically about "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if settled within 30 days, as these discounts bypass the costly insurance claims process. Always confirm your payment status and any applicable self-pay rates directly with the billing department before scheduling your appointment.