X-ray, hand
Facility: Hamilton County Hospital
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $111
- Cash Discount Price: $115
- vs. Medicare Baseline: 1.25x 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.
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 - $137 | 72% |
| First Health Coventry - All Plans | $96 - $99 | 108% |
| UnitedHealthcare | $107 - $111 | 120% |
| Cigna | $107 - $111 | 120% |
| Va Ccn - All Plans | $112 - $117 | 126% |
| Aetna | $191 - $199 | 215% |
Consumer Guidance & Cost Commentary
For the X-ray of the hand (CPT 73130) at Hamilton County Hospital in Syracuse, KS, the cash price is $115.00, which matches the facility's negotiated rate of $111.00 and the median paid amount. This cash price is notably lower than the commercial negotiated rates charged by major payers, with Blue Cross Blue Shield ranging from $64 to $137 and Aetna ranging from $191 to $199. While Medicare sets a benchmark of $88.91 for this service, the facility's cash rate of $115.00 is 1.2 times the Medicare amount, reflecting a markup typical of commercial pricing structures. Patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, as the negotiated rates for many insurers exceed the cash price, and hospitals often offer prompt-pay discounts for upfront payment.
This facility is a Critical Access Hospital with government-local ownership, and its pricing reflects the specific market dynamics of Hamilton County. Although the data does not provide explicit county or state average comparisons for this specific CPT code, the wide variation in payer rates—from as low as $64 for some Blue Cross Blue Shield plans to nearly $200 for Aetna—highlights the importance of verifying your specific plan's allowed amount before scheduling. To ensure you are not overcharged, it is recommended to request an itemized billing audit if you receive a summary bill, as these often obscure individual code costs. Additionally, patients should check for self-pay or prompt-pay discounts directly with the hospital before check-in, as these incentives can significantly reduce the