X-ray, hand
Facility: Stanton County Hospital
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $314
- Cash Discount Price: $331
- vs. Medicare Baseline: 3.53x 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 353% of the Medicare baseline (a markup of 253%). 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 | $130 - $314 | 146% |
| Healthy Blue Mcr Adv - All Other Plans | $324 | 364% |
| Healthy Blue Mcaid | $331 | 372% |
Consumer Guidance & Cost Commentary
For this X-ray of the hand at Stanton County Hospital, the cash price is $331.00, which matches the facility's gross charge and the median amount paid by insurers. While the facility is a Critical Access Hospital in Johnson, KS, the data does not provide specific county or state average rates for this procedure, so a direct comparison to regional pricing is not available. However, it is important to note that commercial insurance plans often pay negotiated rates that can exceed the cash price; for instance, Blue Cross Blue Shield's negotiated range tops out at $314, while Healthy Blue Mcaid pays the full $331. If you have a high-deductible plan, paying the cash price of $331 upfront might be more cost-effective than relying on insurance, especially since the median negotiated payment is $319.00, which could still leave you responsible for a significant deductible or copay.
Patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can lower the final bill by 20% to 50%. Since the facility is government-owned locally, they may have specific financial assistance programs or uniform discount structures that differ from commercial contracts. If you do choose to use insurance, be aware that the No Surprises Act protects you from balance billing for out-of-network providers at in-network facilities, but you should still request an itemized bill to verify that all charges are accurate and that no unbundled codes or services not rendered are included. Always confirm your deductible status and ensure you sign a waiver preventing automatic claims submission if you intend to pay cash directly to avoid unexpected administrative fees or double-billing