CMS Price Transparency Data

X-ray, hand

Facility: Ochsner Choctaw General

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $108
Cash Discount Price: $112
vs. Medicare Baseline: 1.21x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Ochsner Choctaw General is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $112. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.21x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.

Cash / Self-Pay

$112

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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: $112 (126%)

Insurance Median: $108 (121%)

Cash: $112 (126% of Medicare)

Ins. Median: $108 (121% 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.

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
Humana	$6 - $216	7%
Prime Health Services Ppo	$9 - $383	10%
Blue Cross Blue Shield	$10 - $264	11%
UnitedHealthcare	$10 - $263	11%
Cigna	$13 - $263	15%
Aetna	$14 - $311	16%
Primewell Health Services Commercial Exchange Plan	$15 - $321	17%
Primewell Health Services – Commercial	$15 - $321	17%
Claritev D/B/A Multiplan/Phcs/American Life Care	$20 - $359	22%
Zelis	$24 - $359	27%
Ambetter / Centene	$25 - $218	28%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$25 - $216	28%
Medicare (plans)	$25 - $248	28%
Shared Health Mississippi	$26 - $226	29%
Medicaid / KanCare	$32 - $106	36%
Select Administrative Services Network	$32 - $335	36%
Prime Health Services Ppo -Workers Comp	$45 - $382	51%
Cor Vel	$46 - $390	52%

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 $112.
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 Ochsner Choctaw General 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.