X-ray, hand
Facility: Kiowa County Memorial Hospital
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $214
- Cash Discount Price: $204
- vs. Medicare Baseline: 2.41x 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 241% of the Medicare baseline (a markup of 141%). 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 | $137 - $214 | 154% |
| UnitedHealthcare | $192 - $240 | 216% |
| Health Partners Of Ks-All Plans | $211 | 237% |
| Medica Prime Mcare Cost-All Plans | $214 | 241% |
| Humana | $214 | 241% |
| Celtic Comml Exchange-All Other Plans | $214 | 241% |
| Aetna | $214 | 241% |
| Medicaid / KanCare | $240 | 270% |
| Providrs Care/Wppa-All Plans | $360 | 405% |
Consumer Guidance & Cost Commentary
For the X-ray of the hand (CPT 73130) at Kiowa County Memorial Hospital in Greensburg, Kansas, the facility's negotiated rates range from $137 to $240 across nine insurance plans, with a median negotiated payment of $214. This rate is notably higher than the cash price of $204, meaning patients with high-deductible plans might save money by paying cash directly, provided they can secure a "self-pay" or "prompt-pay" discount before scheduling. While the facility is a Critical Access Hospital owned by the local government, it is important to note that commercial insurance rates often include administrative overhead that can inflate the baseline price by 20% to 40% compared to direct cash payments.
When evaluating the cost of this service, it is crucial to compare the facility's rates against the Medicare benchmark rather than the hospital's full chargemaster list. The Medicare reimbursement amount for this procedure is $88.91, and the facility's negotiated rates average approximately 2.4 times the Medicare rate, which falls within the typical range where commercial rates are 200% to 300% of the federal baseline. Because over 80% of hospital bills contain errors, patients should request a detailed, itemized statement to verify that no services were unbundled or double-charged, ensuring that the final bill reflects the accurate negotiated or cash rate rather than inflated summary categories.