CMS Price Transparency Data

X-ray, hand

Facility: Adventist Health and Rideout

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $884
Cash Discount Price: $279
vs. Medicare Baseline: 9.94x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Adventist Health and Rideout is $884. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $279. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 9.94x the Medicare baseline. Located in 726 4Th St, Marysville, CA.

Cash / Self-Pay

$279

Average discount available for prompt cash payment at this facility.

Insurance Median

$884

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: $279 (314%)

Insurance Median: $884 (994%)

Cash: $279 (314% of Medicare)

Ins. Median: $884 (994% 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 994% of the Medicare baseline (a markup of 894%). 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
Bc Mcal	$13	15%
Kaiser Mcal	$36	40%
Medi-Cal	$36	40%
Ca Health And Wellness- All Plans	$45	51%
Celtic Mcaid-All Plans	$45	51%
Kaiser Mcr Adv	$112	126%
Tricare	$112	126%
UnitedHealthcare	$112 - $1,321	126%
Blue Cross Blue Shield	$113 - $1,171	127%
Ah Employee Health Plan - All Plans	$202	227%
Healthnet Mcal	$203 - $304	228%
Healthnet Comm-All Other Plans	$652 - $978	733%
Aetna	$717 - $1,075	806%
Kaiser-All Other Plans	$771 - $1,156	867%
Blue Shield Uc Care Members	$811 - $1,217	912%
Cigna	$864 - $1,296	972%
First Health-All Plans	$887 - $1,331	998%
Phcs-All Plans	$892 - $1,338	1003%
Interplan-All Plans	$913 - $1,369	1027%
Blue Shield-All Other Plans	$963 - $1,445	1083%
Multiplan-All Plans	$963 - $1,445	1083%
Partnership Hp Mcal -All Plans	$1,673 - $2,510	1882%

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 $279.
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 Adventist Health and Rideout 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.