CMS Price Transparency Data

X-ray, hand

Facility: The Children's Mercy Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $389
Cash Discount Price: $152
vs. Medicare Baseline: 4.38x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at The Children's Mercy Hospital is $389. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.38x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.

Cash / Self-Pay

$152

Average discount available for prompt cash payment at this facility.

Insurance Median

$389

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: $152 (171%)

Insurance Median: $389 (438%)

Cash: $152 (171% of Medicare)

Ins. Median: $389 (438% 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 438% of the Medicare baseline (a markup of 338%). 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
UnitedHealthcare	$7 - $603	8%
Cigna	$8 - $624	9%
Healthy Blue	$8 - $226	9%
Home State Health	$8 - $198	9%
Medicaid / KanCare	$8 - $57	9%
Health Midwest Comprehensive Care	$11 - $585	12%
Healthlink	$11 - $790	12%
Wppa Providrs Care	$11 - $584	12%
American Healthcare Alliance	$12 - $763	13%
Quiktrip	$12 - $585	13%
Blue Cross Blue Shield	$13 - $665	15%
Aetna	$15 - $611	17%
Medica	$15 - $524	17%
Multiplan	$15 - $682	17%
Centivo	$16 - $584	18%
Humana	$16 - $597	18%
Nebraska Furniture Mart	$16 - $584	18%
Orscheln	$16 - $584	18%
Wellfit/Centrus	$16 - $584	18%
Coxhealth Network	$18 - $665	20%
Mercy Health	$18 - $674	20%
Coventry Health Care Of Kansas	$19 - $665	21%
National Preferred Provider Network	$22 - $808	25%

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 $152.
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 The Children's Mercy Hospital 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.