X-ray, hand
Facility: Minneola District Hospital
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $160
- Cash Discount Price: $126
- vs. Medicare Baseline: 1.80x 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 |
|---|---|---|
| Va Community Care Program-All Plans | $8 - $124 | 9% |
| UnitedHealthcare | $8 - $185 | 9% |
| Humana | $8 - $124 | 9% |
| Medicaid / KanCare | $29 - $185 | 33% |
| Providrs Care Network-All Plans | $29 - $157 | 33% |
| Aetna | $29 - $185 | 33% |
| Blue Cross Blue Shield | $137 | 154% |
| Corporate Plan Management-All Plans | $153 - $157 | 172% |
| Preferred Health Care (Coventry)-All Other Plans | $162 - $166 | 182% |
| Triwest-All Plans | $162 - $166 | 182% |
| Health Partners Of Kansas-All Plans | $171 - $176 | 192% |
| Phc (Coventry) Leased Network | $171 - $176 | 192% |
Consumer Guidance & Cost Commentary
For the X-ray of the hand (CPT 73130) at Minneola District Hospital, the cash price is $126, which is lower than the facility's gross charge of $180. While the hospital is a Critical Access Hospital in Kansas, the data provided does not include specific state or county average benchmarks for this procedure, so a direct comparison to regional pricing is not possible. However, the cash rate of $126 is notably lower than the median negotiated rate of $160 and the median paid amount of $164, suggesting that paying out-of-pocket could result in immediate savings for patients who have high deductibles or do not have in-network coverage. Since the facility is owned by a Government Hospital District, patients should verify if "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront payment incentives can further reduce the final cost.
The Medicare benchmark for this service is $88.91, which serves as the objective baseline for evaluating pricing markups. The facility's cash rate of $126 represents a markup of approximately 41% over the Medicare rate, which falls within the typical range for fair pricing (120% to 150% of Medicare) and is significantly lower than the average commercial negotiated rates that often reach 200% to 300% of the Medicare amount. If you are using insurance, be aware that the negotiated rates range from $8 to $185 depending on the payer, with some plans paying significantly more than the cash price due to administrative overhead and contract structures. To ensure you are not overpaying, request an itemized billing audit