CMS Price Transparency Data

X-ray, hand

Facility: Scripps Mercy Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $362
Cash Discount Price: $341
vs. Medicare Baseline: 4.07x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Scripps Mercy Hospital is $362. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $341. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.07x the Medicare baseline. Located in 4077 5Th Ave, San Diego, CA.

Cash / Self-Pay

$341

Average discount available for prompt cash payment at this facility.

Insurance Median

$362

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: $341 (384%)

Insurance Median: $362 (407%)

Cash: $341 (384% of Medicare)

Ins. Median: $362 (407% 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 407% of the Medicare baseline (a markup of 307%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$35 - $826	39%
UnitedHealthcare	$35 - $573	39%
Radys Cpmg [803]	$87 - $131	98%
Astiva Mcr Adv [464]	$112	126%
Bc Mcr Adv [830]	$112	126%
Blue Cross Blue Shield	$112 - $432	126%
Bs Mcr Adv [829]	$112	126%
Central Health Mcr Adv [441]	$112	126%
Cigna	$112 - $647	126%
Clever Care Mcr Adv [465]	$112	126%
D-Snp Mcr Adv [889]	$112	126%
Dsnp/Csnp - Generic [458]	$112	126%
Family Health Centers Pace Mcr Adv Hmo [556]	$112	126%
Family Health Centers Pace Medi-Cal [555]	$112	126%
Gary And Mary West Pace Medi-Cal Hmo [557]	$112	126%
Gpmg/Altura - Mcr Adv [888]	$112	126%
Hn Mcr Adv [832]	$112	126%
Humana	$112	126%
Integrated Health Partners - Mcr Adv [895]	$112	126%
Kaiser Northern Ca Region Mcr Adv [386]	$112	126%
La Care Mcr Adv Hmo [612]	$112	126%
Medicare (plans)	$112	126%
Mpmg Mcr Adv [836]	$112	126%
Mpmg [800]	$112	126%
Ocn Mcr Adv [890]	$112	126%
San Diego Pace Medi-Cal [553]	$112	126%
Scan Mcr Adv [835]	$112	126%
Scan [500]	$112	126%
Scan [818]	$112	126%
Sharp Comm Med Grp Mcr Adv [840]	$112	126%
Sharp Health Plan Mcr Adv [531]	$112	126%
Sharp Health Plan Mcr Adv [897]	$112	126%
Sharp Rees Stealy Med Grp Mcr Adv [841]	$112	126%
St Paul'S Pace Medi-Cal [551]	$112	126%
Ucsd Mcr Adv [873]	$112	126%
Uh Mcr Adv [831]	$112	126%
Uh Palomar Health Mcr Adv [885]	$112	126%
Alignment Health Plan [443]	$115	129%
Mc Alignment [917]	$175 - $262	197%
Mc Blue Shield Promise Health Plan [914]	$175 - $262	197%
Mc Blue Shield [902]	$175 - $262	197%
Mc Health Net [904]	$175 - $262	197%
Mc Scan [905]	$175 - $262	197%
Mc United [906]	$175 - $262	197%
Health Net [340]	$178 - $550	200%
Prime Healthcare [614]	$190	214%
Prospect Med Group [893]	$196	220%
Bc [814]	$241 - $362	271%
Imperial County Phys Med Group [855]	$241 - $559	271%
Integrated Health Partners [894]	$241 - $362	271%
Perlman Med Group [899]	$241 - $362	271%
Sharp Comm Med Grp [812]	$241 - $744	271%
Sharp Rees Stealy Med Grp [811]	$241 - $744	271%
Ucsd [807]	$241 - $744	271%
Centivo [581]	$251 - $377	282%
Blue Shield [230]	$359 - $586	404%
Hn [815]	$367 - $550	413%
Bs [816]	$372 - $582	418%
Uh [819]	$382 - $573	430%
Kaiser Northern Ca Region Hmo/Ppo [384]	$408 - $616	459%
Kaiser [380]	$408 - $616	459%
Kaiser [383]	$408 - $616	459%
Rady Children'S Hospital [825]	$448 - $672	504%
Palomar Health [892]	$496 - $744	558%
Veba Med Grp [813]	$496 - $744	558%
Multi Plan Network [470]	$775 - $1,163	872%
First Health Network [330]	$819 - $1,229	921%
Pnoa [615]	$819 - $1,229	921%
Choice Care Network [270]	$874 - $1,311	983%
Healthsmart [350]	$874 - $1,311	983%

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 $341.
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 Scripps Mercy 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.