CMS Price Transparency Data

X-ray, hand

Facility: Lee's Summit Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $778
Cash Discount Price: $1,932
vs. Medicare Baseline: 8.75x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Lee's Summit Medical Center is $778. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,932. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.75x the Medicare baseline. Located in 2100 Se Blue Parkway, Lees Summit, MO.

Cash / Self-Pay

$1,932

Average discount available for prompt cash payment at this facility.

Insurance Median

$778

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $1,932 (2173%)

Insurance Median: $778 (875%)

Cash: $1,932 (2173% of Medicare)

Ins. Median: $778 (875% of 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 875% of the Medicare baseline (a markup of 775%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Multiplan	$30 - $2,608	34%
Aetna	$34 - $1,797	38%
Corvel Corporation	$36 - $2,290	40%
Oha Network	$37 - $1,762	42%
Blue Cross Blue Shield	$43 - $1,515	48%
Humana	$43 - $56	48%
United	$49 - $1,586	55%
Healthyblue	$50	56%
Medicaid / KanCare	$50	56%
Amerigroup	$51	57%
Home State Health Plan	$51	57%
Unicare	$51	57%
Cigna	$101 - $2,819	114%
Ambetter / Centene	$326 - $655	367%
Nhc Advantage	$333 - $670	375%
Wppa Providrs Care Network	$351 - $705	395%
Universal Healthcare	$614 - $1,233	691%
Coventry	$706 - $1,417	794%
Coventry Kc Mo	$720 - $1,445	810%
College Park Family Care Center	$755 - $1,515	849%
Focus Healthcare Mgmt, Inc	$1,316 - $2,643	1480%
Cco, Inc.	$1,492 - $2,995	1678%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,932.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73130.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lee's Summit Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73130.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.