CMS Price Transparency Data

X-ray, hand

Facility: USA Health Children's & Women's Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $115
Cash Discount Price: $177
vs. Medicare Baseline: 1.29x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at USA Health Children's & Women's Hospital is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $177. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.29x the Medicare baseline. Located in 1700 Center Street, Mobile, AL.

Cash / Self-Pay

$177

Average discount available for prompt cash payment at this facility.

Insurance Median

$115

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: $177 (199%)

Insurance Median: $115 (129%)

Cash: $177 (199% of Medicare)

Ins. Median: $115 (129% 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
Central Healthcare Services	$18 - $215	20%
Blue Cross Blue Shield	$37	42%
Aetna	$38 - $236	43%
Devoted Health	$38 - $301	43%
Humana	$38 - $280	43%
UnitedHealthcare	$38 - $232	43%
Viva Health	$38 - $215	43%
Wellcare	$38	43%
Molina Marketplace	$42	47%
Ambetter / Centene	$46	52%
Mississippi Physicians Care Network (Mpcn)	$51	57%
Magnolia Health	$67	75%
Truecare	$67	75%
Molina Chip	$74	83%
Cigna	$82 - $280	92%
Multiplan	$112 - $301	126%
Novanet	$155 - $387	174%

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 $177.
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 USA Health Children's & Women's 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.