X-ray, hand
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $307
- Cash Discount Price: $428
- vs. Medicare Baseline: 3.45x 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 345% of the Medicare baseline (a markup of 245%). 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 | $201 - $313 | 226% |
| Americas Choice Provider Network | $234 - $365 | 263% |
| Usa Managed Care Organization | $251 - $391 | 282% |
| Provider Network Of America | $251 - $391 | 282% |
| Velocity | $251 - $391 | 282% |
| Quiktrip Corporation | $251 - $391 | 282% |
| Multiplan-Phcs | $267 - $418 | 300% |
| Prime Health Services | $284 - $444 | 319% |
| Medincrease | $301 - $470 | 339% |
Consumer Guidance & Cost Commentary
For the X-ray of the hand (CPT 73130) at the Rehabilitation Hospital Of Overland Park, the cash price is $428.00, which matches the facility's median negotiated rate. While commercial payers negotiate rates ranging from $201 to $470 depending on the plan, the cash price is notably higher than the state average of $307.00. This suggests that for patients with high-deductible plans, paying cash directly might be more cost-effective than relying on insurance, as the negotiated rates for some carriers exceed the cash price. Patients should verify their specific plan's deductible status before scheduling, as paying the full negotiated rate without meeting the deductible can result in higher out-of-pocket costs than paying the cash rate upfront.
To maximize savings, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% when paid in full before or shortly after the service. These discounts bypass the administrative overhead of insurance claims processing and provide immediate liquidity to the facility. Additionally, since Medicare rates for this procedure are $88.91, the commercial cash price of $428.00 represents a significant markup compared to the federal benchmark. Consumers are encouraged to request an itemized bill to ensure no errors or unbundled charges are present, as over 80% of hospital bills contain mistakes that can be corrected through a formal audit dispute.