X-ray, hand
Facility: Republic County Hospital
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $307
- Cash Discount Price: $251
- vs. Medicare Baseline: 3.45x 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 345% of the Medicare baseline (a markup of 245%). 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 |
|---|---|---|
| Rural Carriers-All Plans | $284 | 319% |
| Aetna | $301 | 339% |
| Meritain-All Plans | $301 | 339% |
| UnitedHealthcare | $307 | 345% |
| First Health-All Plans | $317 | 357% |
| Midlands Choice-All Plans | $317 | 357% |
| Cigna | $317 | 357% |
Consumer Guidance & Cost Commentary
For this X-ray of the hand at Republic County Hospital in Belleville, KS, the negotiated rates paid by insurance carriers range from $284 to $317, while the cash price is $251. This cash rate is notably lower than the median negotiated amount of $307, meaning patients with high-deductible plans or those without insurance could save money by paying upfront rather than relying on insurance coverage. Although the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, the cash price remains the most affordable option available for this service, offering a direct alternative to the administrative costs and claim processing fees inherent in the insurance billing cycle.
The facility's cash rate of $251 is significantly lower than the Medicare benchmark of $88.91 when adjusted for the specific markup context, though the primary takeaway for consumers is that the cash price is the lowest point of comparison against the state and county averages. Since the hospital offers a prompt-pay discount structure for upfront payments, patients should explicitly request a self-pay classification and waive insurance submission before check-in to ensure they receive the $251 rate rather than being billed the higher negotiated amount. It is also important to note that while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, patients should still verify their specific plan details and ask for an itemized bill to confirm no unexpected ancillary charges are included.