X-ray, hand
Facility: Wamego Health Center
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $46
- Cash Discount Price: $179
- vs. Medicare Baseline: 0.52x 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.
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 |
|---|---|---|
| Medicaid / KanCare | $7 - $77 | 8% |
| Aetna | $7 - $77 | 8% |
| UnitedHealthcare | $7 - $74 | 8% |
| Providrs Care | $11 - $46 | 12% |
| Tricare | $46 | 52% |
| Blue Cross Blue Shield | $179 - $189 | 201% |
Consumer Guidance & Cost Commentary
For the X-ray of the hand (CPT 73130) at Wamego Health Center, the cash median price is $179.00, which is significantly higher than the state of Kansas average of $88.91 and the Medicare benchmark of $88.91. While commercial insurance plans like Medicaid/KanCare, Aetna, and UnitedHealthcare negotiate rates ranging from $7 to $189, these negotiated amounts often exceed the cash price due to administrative overhead and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, as the $179.00 cash price is lower than many of the facility's negotiated in-network rates, effectively bypassing the administrative costs and markup layers inherent in insurance billing.
To secure the lowest possible cost, we recommend asking the facility about "self-pay" or "prompt-pay" discounts before scheduling your visit, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is also important to verify your specific plan's allowed amount, as assuming that being in-network guarantees the best price can lead to unexpected costs if your deductible has not yet been met. Finally, if you receive a bill, request a full itemized statement to review every line item for accuracy, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected to lower your total debt.