X-ray, hand
Facility: Kiowa District Hospital
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $253
- Cash Discount Price: $214
- vs. Medicare Baseline: 2.85x 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 285% of the Medicare baseline (a markup of 185%). 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 |
|---|---|---|
| Tricare | $105 | 118% |
| Blue Cross Blue Shield | $135 | 152% |
| Healthchoice-All Plans | $160 | 180% |
| UnitedHealthcare | $214 - $268 | 241% |
| Health Partners Of Ks-All Plans | $236 | 265% |
| Humana | $242 | 272% |
| Multiplan-All Plans | $252 | 283% |
| Gbs Insurance - All Plans | $252 | 283% |
| Aetna | $255 | 287% |
| Medicare (plans) | $255 | 287% |
| Triwest-All Plans | $255 | 287% |
| Medicaid / KanCare | $268 | 301% |
| Providers Care (Wppa)-All Plans | $402 | 452% |
| Liberty Healthshare-All Plans | $433 | 487% |
Consumer Guidance & Cost Commentary
For the X-ray of the hand (CPT 73130) at Kiowa District Hospital in Kiowa, Kansas, the cash price is $214.00, which is lower than the facility's negotiated rates with most major insurers. While the hospital's cash rate is $214.00, the median negotiated rate across payers is $252.00, meaning patients with high-deductible plans might save money by paying cash directly rather than relying on insurance, as the insurer's allowed amount often exceeds the cash price. The facility, a Critical Access Hospital owned by a Government Hospital District, lists a gross charge of $268.00, but commercial contracts cap the cost significantly lower for most members.
To ensure you receive the lowest possible rate, it is important to verify if your specific insurance plan has a lower negotiated rate than the facility's cash price, as some commercial contracts can exceed the cash amount. Additionally, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the final bill. Since over 80% of hospital bills contain errors, if you receive a statement, request a full itemized audit to identify any unbundled codes or services not rendered, and never accept a summary bill as your final invoice.