CMS Price Transparency Data

X-ray, hand

Facility: Mercy Hospital Paris

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $207
  • Cash Discount Price: $363
  • vs. Medicare Baseline: 2.33x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Mercy Hospital Paris is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $363. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.33x the Medicare baseline. Located in 500 East Academy, Paris, AR.
Cash / Self-Pay
$363

Average discount available for prompt cash payment at this facility.

Insurance Median
$207

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: $363 (408%)
Insurance Median: $207 (233%)
Cash: $363 (408% of Medicare)
Ins. Median: $207 (233% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 233% of the Medicare baseline (a markup of 133%). 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.

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 - $276 27%
Summit Community Care Contracted [320368] $25 28%
Summit Community Care [20368] $25 28%
Novasys Contracted [320285] $37 - $276 42%
Arkansas Total Care Contracted [320039] $57 64%
Arkansas Total Care [20039] $57 64%
Blue Cross Blue Shield $105 - $200 118%
Usable Contracted [320409] $105 118%
Aetna $118 - $457 133%
American Health Advantage Of Mo Mcr [20264] $118 - $200 133%
Cherokee Nation Health Serv Contracted [320066] $118 - $200 133%
Cross Timbers Hospice [20098] $118 - $200 133%
Dept Of Veteran Affairs Contracted [320106] $118 - $200 133%
Elara Caring Aspire Hospice Contracted [320433] $118 - $200 133%
Elara Caring Aspire Hospice [20433] $118 - $200 133%
Globalhealth Contracted [320145] $118 - $200 133%
Halo Hcr Inc Hospice Contracted [320432] $118 - $200 133%
Halo Hcr Inc Hospice [20432] $118 - $200 133%
Humana $118 - $598 133%
Indian Health Service Contracted [320198] $118 - $200 133%
Indian Health Service [20198] $118 - $200 133%
Jordan Valley Senior Care Pace [20515] $118 - $200 133%
Kindful Hospice Contracted [320434] $118 - $200 133%
Kindful Hospice [20434] $118 - $200 133%
Medicare (plans) $118 - $210 133%
Mercy Hospice Okc [20252] $118 - $200 133%
Pace Of The Ozarks [20518] $118 - $200 133%
Provider Partners Health Plans Contracted [320450] $118 - $200 133%
Qual Choice Contracted [320325] $118 - $200 133%
Spina Bifida Hlthcare Benefit [20506] $118 - $200 133%
Tricare $118 - $200 133%
UnitedHealthcare $118 - $200 133%
Valir Pace [20503] $118 - $200 133%
Cigna $123 - $598 138%
Qual Choice Contracted [320324] $136 153%
Ambetter / Centene $162 - $276 182%
Home State Health Plan Contracted [320187] $162 - $276 182%
Mercy Interfacility [20513] $176 - $300 198%
United Medical Resources Contracted [320454] $180 202%
Auxiant Contracted [320462] $248 - $633 279%
Mercy Benefit Admin Contracted [320251] $248 - $633 279%
Workers Comp [20426] $268 - $457 301%
90 Degree Benefits Contracted [320436] $351 - $598 395%
Aither Health Contracted [320449] $351 - $598 395%
Ebms Contracted [320493] $351 - $598 395%
Edison Health Solutions Contracted [320502] $351 - $598 395%
Healthlink Contracted [320179] $351 - $633 395%
Imagine 360 Contracted [320494] $351 - $598 395%
Multiplan Contracted [320270] $351 - $598 395%
Multiplan [20270] $351 - $598 395%
Municipal Health Plan Contracted [320271] $351 - $598 395%
Reflect Health Contracted [320492] $351 - $598 395%
Show-Me Health Administrators Contracted [320483] $351 - $598 395%
Federal Medical Center Contracted [320127] $372 - $633 418%
Healthscope Contracted [320182] $372 - $633 418%
Insurance System Inc Contracted [320465] $372 - $633 418%
Personify Health Contracted [320051] $372 - $633 418%
Point C Contracted [320238] $372 - $633 418%
Preferred Health Plan Contracted [320522] $372 - $633 418%
Tri State Healthcare Coalition Contracted [320379] $372 - $633 418%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 East Academy, Paris, AR 72855
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals