X-ray, hand
Facility: Cheyenne County Hospital
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $218
- Cash Discount Price: $195
- vs. Medicare Baseline: 2.45x 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 245% of the Medicare baseline (a markup of 145%). 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 | $135 | 152% |
| First Health - All Plans | $160 | 180% |
| Aetna | $165 - $218 | 186% |
| Healthy Blue Mcr Adv | $165 | 186% |
| UnitedHealthcare | $165 - $229 | 186% |
| Tricare | $165 | 186% |
| Choice Care - All Plans | $167 | 188% |
| Firstguard - All Plans | $183 | 206% |
| Wppa - All Plans | $206 | 232% |
| Preferred Hc - All Plans | $218 | 245% |
| Cpm - All Plans | $218 | 245% |
| Midlands Choice - All Plans | $222 | 250% |
| Integrated Hp - All Plans | $224 | 252% |
| Health Partners - All Plans | $224 | 252% |
| Ppo Next - All Plans | $224 | 252% |
| Unicare - All Plans | $224 | 252% |
| Healthy Blue Mcaid - All Other Plans | $229 | 258% |
| Childrens Mercy - All Plans | $229 | 258% |
| Healthwave Mcaid - All Plans | $229 | 258% |
| Providers Care-All Plans | $344 | 387% |
Consumer Guidance & Cost Commentary
For the X-ray of the hand (CPT 73130) at Cheyenne County Hospital, the cash price is $195.00, which is lower than the facility's negotiated rate of $218.00 and the median paid by insurers of $206.00. While the facility is a Critical Access Hospital in St. Francis, Kansas, the data provided does not include specific county or state average rates for this procedure, so a direct comparison to regional benchmarks cannot be made. However, the Medicare benchmark for this service is $88.91, indicating that the cash price of $195.00 represents a markup of approximately 2.5 times the Medicare rate. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as it is lower than the negotiated rates charged to most in-network payers, including Blue Cross Blue Shield and First Health.
To minimize costs, patients should proactively ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling the appointment, as these upfront payment incentives can reduce the final bill. It is also important to request an itemized bill to ensure no errors, such as unbundled codes or charges for services not rendered, are included, as over 80% of hospital bills contain discrepancies. While the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, verifying the exact allowed amount with the hospital remains the most effective way to avoid unexpected charges.