X-ray, hand
Facility: Goodland Regional Medical Center
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $192
- Cash Discount Price: $288
- vs. Medicare Baseline: 2.16x 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 216% of the Medicare baseline (a markup of 116%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $137 | 154% |
| Wppa | $181 - $383 | 204% |
| UnitedHealthcare | $192 - $383 | 216% |
Consumer Guidance & Cost Commentary
For the CPT code 73130 (X-ray, hand) at Goodland Regional Medical Center, the cash median price is $288.00, which is significantly lower than the facility's negotiated rates with major payers like Wppa and UnitedHealthcare, where payments range from $181 to $383. While the facility is a Critical Access Hospital in Goodland, KS, with a government-local ownership structure, the cash price may offer substantial savings for patients with high-deductible plans or those without insurance, as the negotiated rates often exceed the cash amount. It is important to note that the facility's facility rating is 2, and while the Medicare amount for this service is $88.91, commercial negotiated rates typically average 200% to 300% of Medicare, suggesting that the cash price of $288.00 represents a more transparent and potentially lower cost option compared to standard insurance billing structures.
To ensure you receive the most accurate and fair pricing, we recommend requesting an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Since the facility offers a cash median of $288.00, you should explicitly ask about "self-pay" or "prompt-pay" discounts, which can reduce the total by 20% to 50% if paid in full upfront, bypassing the administrative costs associated with insurance claims processing. Additionally, while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, it is crucial to verify your specific plan's deductible status and ensure