CMS Price Transparency Data
X-ray, hand
Facility: Mercy Hospital Fort Smith
Billing Code: 73130 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73130
- Insurance Median: $115
- Cash Discount Price: $270
- vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Mercy Hospital Fort Smith is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $270. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.29x the Medicare baseline. Located in 7301 Rogers Ave, Fort Smith, AR.
Cash / Self-Pay
$270
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: $270 (304%)
Insurance Median: $115 (129%)
Cash: $270 (304% 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.
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 |
|---|---|---|
| Medicaid / KanCare | $24 - $115 | 27% |
| Arkansas Department Of Health [20036] | $25 | 28% |
| Summit Community Care Contracted [320368] | $25 | 28% |
| Summit Community Care [20368] | $25 | 28% |
| Aetna | $32 - $81 | 36% |
| Humana | $32 - $398 | 36% |
| Novasys Contracted [320285] | $37 - $115 | 42% |
| Cigna | $40 - $85 | 45% |
| First Health Contracted [320128] | $48 | 54% |
| Arkansas Total Care Contracted [320039] | $57 | 64% |
| Arkansas Total Care [20039] | $57 | 64% |
| Mercy Interfacility [20513] | $73 - $110 | 82% |
| Blue Cross Blue Shield | $77 - $86 | 87% |
| American Health Advantage Of Mo Mcr [20264] | $81 | 91% |
| Cherokee Nation Health Serv Contracted [320066] | $81 | 91% |
| Cross Timbers Hospice [20098] | $81 | 91% |
| Dept Of Veteran Affairs Contracted [320106] | $81 | 91% |
| Elara Caring Aspire Hospice Contracted [320433] | $81 | 91% |
| Elara Caring Aspire Hospice [20433] | $81 | 91% |
| Globalhealth Contracted [320145] | $81 | 91% |
| Halo Hcr Inc Hospice Contracted [320432] | $81 | 91% |
| Halo Hcr Inc Hospice [20432] | $81 | 91% |
| Independent Health [20197] | $81 | 91% |
| Jordan Valley Senior Care Pace [20515] | $81 | 91% |
| Kindful Hospice Contracted [320434] | $81 | 91% |
| Kindful Hospice [20434] | $81 | 91% |
| Medical Associates Health [20444] | $81 | 91% |
| Medicare (plans) | $81 - $85 | 91% |
| Mercy Hospice Okc [20252] | $81 | 91% |
| Pace Of The Ozarks [20518] | $81 | 91% |
| Provider Partners Health Plans Contracted [320450] | $81 | 91% |
| Qual Choice Contracted [320325] | $81 | 91% |
| Spina Bifida Hlthcare Benefit [20506] | $81 | 91% |
| Tribute Health Plan Mcr [20338] | $81 | 91% |
| Tricare | $81 | 91% |
| UnitedHealthcare | $81 - $180 | 91% |
| Valir Pace [20503] | $81 | 91% |
| Wellfirst Health Mcr [20443] | $81 | 91% |
| Aither Health Contracted [320449] | $83 - $124 | 93% |
| Edison Health Solutions Contracted [320502] | $83 - $124 | 93% |
| Mercy Benefit Admin Contracted [320251] | $83 - $299 | 93% |
| Usable Contracted [320409] | $86 | 97% |
| Ambetter / Centene | $115 | 129% |
| Home State Health Plan Contracted [320187] | $115 | 129% |
| Qual Choice Contracted [320324] | $136 | 153% |
| 90 Degree Benefits Contracted [320436] | $166 - $249 | 187% |
| Show-Me Health Administrators Contracted [320483] | $166 - $249 | 187% |
| Health Choice Contracted [320166] | $176 | 198% |
| United Medical Resources Contracted [320454] | $180 | 202% |
| Auxiant Contracted [320462] | $199 - $324 | 224% |
| Ebms Contracted [320493] | $199 - $299 | 224% |
| Healthlink Contracted [320179] | $199 - $324 | 224% |
| Imagine 360 Contracted [320494] | $199 - $299 | 224% |
| Municipal Health Plan Contracted [320271] | $199 - $299 | 224% |
| Reflect Health Contracted [320492] | $199 - $299 | 224% |
| Insurance System Inc Contracted [320465] | $216 - $324 | 243% |
| Personify Health Contracted [320051] | $216 - $324 | 243% |
| Preferred Health Plan Contracted [320522] | $216 - $324 | 243% |
| Workers Comp [20426] | $216 - $324 | 243% |
| Employers Health Coalition Contracted [320116] | $232 - $349 | 261% |
| Ppo Plus Contracted [320310] | $249 - $374 | 280% |
| Private Health Care Systems Contracted [320320] | $266 - $398 | 299% |
| Private Health Care Systems [20320] | $266 - $398 | 299% |
| Multiplan Contracted [320270] | $282 - $423 | 317% |
| Multiplan [20270] | $282 - $423 | 317% |