X-ray, hand
Facility: Scott County Hospital
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $272
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 3.06x 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 306% of the Medicare baseline (a markup of 206%). 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 |
|---|---|---|
| UnitedHealthcare | $49 - $287 | 55% |
| Humana | $127 | 143% |
| Blue Cross Blue Shield | $137 | 154% |
| Wppa | $181 - $1,200 | 204% |
| Aetna | $272 | 306% |
Consumer Guidance & Cost Commentary
For this X-ray of the hand at Scott County Hospital in Scott City, KS, the commercial insurance negotiated rates range from $49 to $1,200 depending on the specific plan, with a median negotiated amount of $272. This facility is a Critical Access Hospital with a voluntary non-profit ownership structure. When comparing these rates to the Medicare benchmark of $88.91, the commercial negotiated rate is 3.1 times higher, indicating a significant markup above the federal baseline. While the facility does not list a specific cash median, patients with high-deductible plans may find that paying the cash price directly could be more cost-effective than the insurance negotiated rate of $272, as commercial contracts often include administrative overhead that inflates the final bill.
To minimize out-of-pocket costs, it is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the total amount due by 20% to 50% for upfront payment. Since the data indicates no specific cash median was reported, verifying the self-pay rate before scheduling is crucial to avoid balance billing or unexpected charges. Patients should also ensure they request a waiver of insurance submission if they choose to pay cash, as automatic claims processing can void any cash discount agreements. Finally, if a detailed itemized bill is received, consumers should review it line-by-line to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute.