X-ray, hand
Facility: Community Memorial Healthcare, Inc.
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $137
- Cash Discount Price: $226
- 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 |
|---|---|---|
| Aetna | $45 - $266 | 51% |
| UnitedHealthcare | $55 - $203 | 62% |
| Blue Cross Blue Shield | $137 | 154% |
Consumer Guidance & Cost Commentary
For this X-ray of the hand at Community Memorial Healthcare, Inc. in Marysville, KS, the cash price is $226.00, which matches the facility's median negotiated rate of $226.00. While the facility is in-network with three major payers, the actual amounts these insurers agreed to pay vary significantly, ranging from a low of $45.00 with Aetna to a high of $266.00 with UnitedHealthcare. It is important to note that the median amount paid by these insurers is $203.00, which is lower than the cash price. In cases where a patient has a high-deductible plan, paying the cash price of $226.00 upfront may be more cost-effective than relying on insurance, as the insurer's average payment of $203.00 is already below the cash rate, and the patient would still be responsible for meeting their deductible before any reimbursement occurs.
The facility's pricing is benchmarked against Medicare, which sets a standard rate of $88.91 for this service. The facility's cash price of $226.00 represents a 1.5x markup over the Medicare amount, indicating a significant difference between the government's cost-based reimbursement and the commercial rates charged. Patients should be aware that while the facility offers a "prompt-pay" discount for upfront payment, the current cash price is already the lowest available rate for this service. To ensure you receive the best possible price, it is recommended to explicitly request a "self-pay" or "prompt-pay" discount before scheduling your appointment and to avoid automatic claims submission if you intend to pay