X-ray, hand
Facility: Kearny County Hospital
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $215
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.42x 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 242% of the Medicare baseline (a markup of 142%). 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 | $215 | 242% |
| Wps Gha - Mac J5 Part A | $215 | 242% |
| UnitedHealthcare | $215 | 242% |
| Community Care Health Plan Of | $215 | 242% |
| Paradigm | $215 | 242% |
Consumer Guidance & Cost Commentary
For this X-ray of the hand at Kearny County Hospital in Lakin, KS, the negotiated rate is $215.00, which matches the median negotiated amount across all five payers including Blue Cross Blue Shield and UnitedHealthcare. While the facility is a Critical Access Hospital with government-local ownership, the cash median is not available in this dataset. It is important to note that for patients with high-deductible plans, paying cash directly can sometimes be more cost-effective if the insurance negotiated rate exceeds the cash price, though the specific cash rate for this service is not listed here.
The Medicare benchmark for this procedure is $88.91, which serves as the objective baseline for evaluating pricing markups. Although the data does not provide specific county or state average comparisons for this code, the Medicare rate reveals that the commercial negotiated rate represents a significant markup relative to the federal government's fixed reimbursement standard. Patients should verify their specific plan details before scheduling, as in-network contracts vary by carrier, and they should inquire directly with the hospital about potential self-pay or prompt-pay discounts that could reduce the final balance.