X-ray, hand
Facility: Greenwood County Hospital
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $148
- Cash Discount Price: $152
- vs. Medicare Baseline: 1.66x 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 |
|---|---|---|
| Triwest - All Plans | $60 - $76 | 67% |
| Choicecare Mcr Adv - All Plans | $71 - $89 | 80% |
| UnitedHealthcare | $71 - $178 | 80% |
| Tricare | $71 - $89 | 80% |
| Integrated Health Plan - All Plans | $127 - $159 | 143% |
| Blue Cross Blue Shield | $128 - $135 | 144% |
| First Health - All Other Plans | $144 - $180 | 162% |
| Beech Street - All Plans | $144 - $180 | 162% |
| First Health Ccn Network | $144 - $180 | 162% |
| Preferred Hs (Coventry) - All Plans | $152 - $191 | 171% |
| Principal Health Care Inc - All Plans | $161 - $201 | 181% |
| Medicaid / KanCare | $169 - $212 | 190% |
| Amerigroup Mcaid-All Plans | $169 - $212 | 190% |
| Providrs Care/Wppa - All Plans | $254 - $318 | 286% |
Consumer Guidance & Cost Commentary
For this X-ray of the hand at Greenwood County Hospital in Eureka, Kansas, the facility's cash price is $152.00, which is lower than the state average of $191.00. While the hospital is a Critical Access Hospital owned by the local government, commercial insurance plans negotiate rates that often exceed the cash price; for example, Preferred Hs (Coventry) pays up to $191.00, and Medicaid plans can pay up to $212.00. This pricing structure highlights a common billing dynamic where paying out-of-pocket upfront can result in lower costs than what insurance will allow, particularly for patients with high-deductible plans who may face higher out-of-pocket expenses if their negotiated rates exceed the cash price.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care at in-network facilities, it is still important to request an itemized bill to ensure no unbundled codes or services not rendered are included. If you choose to pay cash, ask the billing department about prompt-pay discounts, which can reduce the total amount owed by 20% to 50% if paid in full within 30 days. Always verify your specific plan's deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can be more expensive than the cash price.