X-ray, hand
Facility: Great Plains Of Sabetha
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $200
- Cash Discount Price: $210
- vs. Medicare Baseline: 2.25x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 225% of the Medicare baseline (a markup of 125%). 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 |
|---|---|---|
| Celtic Mcr Adv | $106 - $113 | 119% |
| Aetna | $107 - $219 | 120% |
| Celtic Comm Exchange-All Other Plans | $132 - $141 | 148% |
| Great West Healthcare-All Plans | $173 - $184 | 195% |
| UnitedHealthcare | $189 - $217 | 213% |
| Cigna | $193 - $206 | 217% |
| Century/Wppa/Providers-All Plans | $193 - $206 | 217% |
| Humana | $193 - $206 | 217% |
| Multiplan-Phcs-All Plans | $193 - $206 | 217% |
| Federated Mutual Ins-All Plans | $195 - $208 | 219% |
| Medicaid / KanCare | $203 - $217 | 228% |
| Blue Cross Blue Shield | $203 - $217 | 228% |
Consumer Guidance & Cost Commentary
For this X-ray of the hand at Great Plains of Sabetha, the cash price is $210.00, which matches the facility's median paid amount. While the Medicare benchmark for this service is $88.91, commercial insurance negotiated rates range from $106 to $219 depending on the plan. For patients with high-deductible plans, paying cash directly at $210.00 may be more cost-effective than using insurance, as some commercial payers negotiate rates that exceed the cash price. It is important to verify your specific plan's allowed amount before scheduling, as assuming that in-network coverage equals the lowest possible price can lead to higher out-of-pocket costs.
To minimize unexpected charges, patients should explicitly ask the facility about self-pay or prompt-pay discounts before check-in, as these upfront payment incentives can reduce the total bill. If you do receive a bill, always request a full itemized statement that lists specific CPT codes rather than accepting a summary invoice, since over 80% of hospital bills contain errors such as double-billing or unbundled charges. Additionally, if you are billed for services from an out-of-network provider at this in-network facility, the No Surprises Act may protect you from balance billing for emergency or non-emergency care, so you should dispute any surprise invoices in writing rather than paying immediately out of fear.