X-ray, hand
Facility: St Luke Hospital & Living Center
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $156
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.75x 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 |
|---|---|---|
| Kansas Department Of Health And Environment | $156 | 175% |
| Humana | $156 | 175% |
| Blue Cross Blue Shield | $156 | 175% |
| UnitedHealthcare | $156 | 175% |
| Bluestem Pace | $156 | 175% |
| Va Ccn | $156 | 175% |
| Ambetter / Centene | $157 | 177% |
Consumer Guidance & Cost Commentary
For the X-ray of the hand (CPT 73130) at St Luke Hospital & Living Center in Marion, KS, the facility's negotiated rate is $156.00, which aligns exactly with the lowest and highest negotiated rates reported across all seven payers, including Humana, Blue Cross Blue Shield, and UnitedHealthcare. This specific rate is significantly higher than the Medicare benchmark of $88.91, reflecting a markup of 1.8 times the federal standard. While the facility is a Critical Access Hospital owned by a Government Hospital District, the data does not provide a specific county or state average for comparison, so the most reliable baseline for evaluating this price is the Medicare rate.
Patients should be aware that the insurance negotiated rate of $156.00 is likely higher than the actual cost of care due to administrative processing fees and contract dynamics. If you have a high-deductible plan or are self-pay, you may find it more cost-effective to pay the cash price directly, as commercial rates often exceed cash prices. To secure the lowest possible amount, you should explicitly request a "self-pay" or "prompt-pay" discount before scheduling your appointment, as these upfront payment incentives can reduce the total bill by 20% to 50%. Additionally, if you are concerned about potential balance billing, remember that the No Surprises Act protects you from being billed the difference between the hospital's full chargemaster and your insurance allowed amount for out-of-network services at this in-network facility.