X-ray, hand
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $168
- Cash Discount Price: $206
- vs. Medicare Baseline: 1.89x 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 |
|---|---|---|
| Direct Benefit-All Plans | $54 - $56 | 61% |
| UnitedHealthcare | $65 - $234 | 73% |
| Berkley Net-All Plans | $90 - $94 | 101% |
| Trustmark Health Benefits-All Plans | $99 - $103 | 111% |
| Aetna | $99 - $159 | 111% |
| Meritain Health-All Plans | $101 - $105 | 114% |
| Ambetter / Centene | $108 - $112 | 121% |
| Axa Equitable - All Plans | $123 - $129 | 138% |
| Pinnacol-All Plans | $125 - $131 | 141% |
| Medi-Share-All Plans | $128 - $133 | 144% |
| Presbyterian-All Plans | $137 - $143 | 154% |
| Kasb Work Comp - All Plans | $143 - $150 | 161% |
| The Kempton Group Admin-All Plans | $155 - $161 | 174% |
| Auxiant - All Plans | $157 - $164 | 177% |
| Gpha(Wppa)-All Other Plans | $157 - $164 | 177% |
| Wppa- All Plans | $159 - $166 | 179% |
| Sisco-All Plans | $161 - $168 | 181% |
| Providers Care Network- All Plans | $161 - $168 | 181% |
| Emc-All Plans | $161 - $168 | 181% |
| Gpha Employee Benefit Plan | $164 - $171 | 184% |
| Regional Care(Wppa)-All Plans | $168 - $176 | 189% |
| Employee Benefit-All Plans | $168 - $176 | 189% |
| First Health -All Plans | $170 - $178 | 191% |
| Triangle-All Plans | $170 - $178 | 191% |
| One Call Physician-All Plans | $172 - $180 | 193% |
| Blue Cross Blue Shield | $177 - $185 | 199% |
| Christian Hospital Aid - All Plans | $179 - $187 | 201% |
| Tricare | $179 - $187 | 201% |
| Humana | $193 - $201 | 217% |
| Luminare Health- All Plans | $197 - $206 | 222% |
| Cigna | $197 - $206 | 222% |
| Coresource-All Plans | $202 - $211 | 227% |
| Deseret Mutual(Uhis)-All Plans | $202 - $211 | 227% |
| Vaccn-All Plans | $206 - $215 | 232% |
| Hma Llc-All Plans | $213 - $222 | 240% |
| Reserve National-All Plans | $213 - $222 | 240% |
| Wps Vapc-All Plans | $213 - $222 | 240% |
| Medicaid / KanCare | $224 - $234 | 252% |
Consumer Guidance & Cost Commentary
For the X-ray, hand procedure (CPT 73130) at Satanta District Hospital, the cash price is $206.00, which is lower than the facility's gross charge of $229.00. While the median negotiated rate across 38 payers is $168.00, patients with high-deductible plans may find the cash price more advantageous if their insurance allows a higher allowed amount than the cash rate. It is important to note that the facility is a Critical Access Hospital in Kansas, and while specific county or state average data was not provided in this report, patients should always verify their specific plan's allowed amount before scheduling to ensure they are not paying more than necessary.
Patients should proactively ask about "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid in full upfront, bypassing the administrative costs associated with insurance claims. Additionally, under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, though they should still request an itemized bill to review all charges for accuracy. If a balance bill is received, patients should dispute it with their insurer rather than paying immediately, and they should avoid signing consent waivers that waive their right to dispute out-of-network costs.