X-ray, hand
Facility: Lincoln County Hospital
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $137
- Cash Discount Price: $201
- vs. Medicare Baseline: 1.54x 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 | $137 | 154% |
Consumer Guidance & Cost Commentary
For this X-ray of the hand at Lincoln County Hospital in Lincoln, KS, the cash price is $201.00, which is lower than the facility's gross charge of $224.00. While the median negotiated rate for Blue Cross Blue Shield is $137.00, patients with high-deductible plans may find paying cash directly more cost-effective if their insurance allowed amount exceeds the cash price. It is important to note that commercial negotiated rates often include administrative overhead and can be higher than cash prices; therefore, asking the hospital for a "self-pay" or "prompt-pay" discount before scheduling can sometimes result in a lower final bill.
This service is benchmarked against federal standards, where the Medicare amount is $88.91. The cash price of $201.00 represents a 1.5x markup compared to the Medicare rate, which is a common range for commercial pricing structures. If you receive a bill from this facility, ensure you request a full itemized statement rather than accepting a summary bill, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If you are facing an unexpected balance bill, you may be entitled to protections under the No Surprises Act, particularly if the care was provided at an in-network facility, and should dispute any charges that exceed the allowed amount before signing away your rights.