X-ray, hand
Facility: Hospital District #6 Patterson Health Center
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $171
- Cash Discount Price: $152
- vs. Medicare Baseline: 1.92x 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 |
|---|---|---|
| Blue Cross Blue Shield | $128 - $135 | 144% |
| UnitedHealthcare | $171 - $190 | 192% |
| Providers Care (Wppa)-All Plans | $332 | 373% |
Consumer Guidance & Cost Commentary
For the X-ray of the hand at Hospital District #6 Patterson Health Center in Anthony, KS, the facility's cash median price is $152.00, which is lower than the negotiated rates paid by major payers like UnitedHealthcare ($171.00) and Providers Care ($332.00). This price transparency data highlights that for patients with high-deductible plans, paying cash directly can sometimes be more cost-effective than relying on insurance, as the insurer's negotiated rate often exceeds the cash price. Since this is a Critical Access Hospital, patients should proactively ask about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the final bill by bypassing administrative costs associated with insurance claims processing.
The facility's Medicare benchmarking ratio of 1.9 indicates that the commercial negotiated rates are significantly higher than the federal government's fixed reimbursement rate of $88.91 for this CPT code, reflecting the multi-layered administrative structures and contract dynamics that inflate baseline prices. While the facility is a Government-owned Critical Access Hospital, the data shows a wide range of allowed amounts across different insurance plans, with Blue Cross Blue Shield paying as low as $128.00 and UnitedHealthcare paying up to $190.00. Consumers should be aware that comparing rates to the hospital's gross chargemaster can be misleading; instead, verifying the specific allowed amount with the hospital before the procedure helps ensure you are not overpaying relative to the true cost of care.