X-ray, hand
Facility: Graham County Hospital
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $140
- Cash Discount Price: $180
- vs. Medicare Baseline: 1.57x 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 |
|---|---|---|
| Medicaid / KanCare | $118 | 133% |
| UnitedHealthcare | $118 - $171 | 133% |
| Blue Cross Blue Shield | $135 | 152% |
| Medicare (plans) | $135 | 152% |
| Celtic Commercial-All Other Plans | $148 | 166% |
| Wppa (Providers Care)-All Plans | $171 | 192% |
Consumer Guidance & Cost Commentary
For the X-ray of the hand (CPT 73130) at Graham County Hospital in Hill City, Kansas, the cash price is $180.00, which matches the facility's median negotiated rate of $149.00 and the cash median. This service is significantly more expensive than the Medicare benchmark of $88.91, reflecting a markup of 1.6 times the federal rate. While Medicaid/KanCare pays a fixed $118 and UnitedHealthcare plans range from $118 to $171, patients with high-deductible plans may find paying cash directly cheaper than their insurance negotiated rate if the allowed amount exceeds the cash price. It is important to note that while the facility is a Critical Access Hospital owned by the local government, patients should explicitly ask for "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by bypassing administrative claim processing costs.
This specific procedure does not appear in the provided data to be compared against state or county averages, so no regional benchmarking is available for this location. However, the pricing structure illustrates how commercial insurance rates can vary widely; for instance, Wppa (Providers Care) pays the highest negotiated rate of $171, while Celtic Commercial pays $148. Because hospitals often issue summary bills that obscure individual line items, patients should request a full itemized CPT-coded statement before paying to ensure no unbundled charges or services not rendered are included. If you receive a large bill after using insurance, you should verify if it is a balance bill for out-of-network ancillary services, which is now restricted by the