X-ray, hand
Facility: Fredonia Regional Hospital
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $180
- Cash Discount Price: $200
- vs. Medicare Baseline: 2.02x 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 202% of the Medicare baseline (a markup of 102%). 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 | $99 - $137 | 111% |
| UnitedHealthcare | $102 - $180 | 115% |
| Aetna | $102 - $180 | 115% |
| Veterans Programs - All Plans | $102 | 115% |
| Cigna | $180 | 202% |
| Meritain-All Plans | $180 | 202% |
| Reserve National-All Plans | $180 | 202% |
Consumer Guidance & Cost Commentary
For this X-ray of the hand at Fredonia Regional Hospital in Kansas, the cash price is $200.00, which matches the facility's median negotiated rate of $180.00 and the state average. While insurance plans like Blue Cross Blue Shield and UnitedHealthcare negotiate rates ranging from $99 to $180, patients with high-deductible plans may find paying the full cash price of $200.00 more cost-effective than relying on insurance, as the negotiated allowed amounts can sometimes exceed the cash rate. Because this facility is a Critical Access Hospital owned by the local government, it is important to verify your specific plan's coverage before scheduling, as some in-network contracts may result in higher out-of-pocket costs than direct payment.
To ensure you are not overcharged, always request a full itemized bill before paying, as summary invoices often hide unbundled codes or services not rendered. If you receive a balance bill for the difference between the provider's chargemaster and your insurance payment, remember that the No Surprises Act generally protects you from these unexpected charges for emergency care and non-emergency services at in-network facilities. Additionally, ask the hospital about prompt-pay discounts, which can reduce the final amount by 20% to 50% if you settle the bill upfront, bypassing the administrative costs associated with insurance claims processing.