CMS Price Transparency Data
X-ray, hand
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 73130 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73130
- Insurance Median: $112
- Cash Discount Price: $862
- vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at AHMC Anaheim Regional Medical Center is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $862. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.26x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$862
Average discount available for prompt cash payment at this facility.
Insurance Median
$112
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: $862 (970%)
Insurance Median: $112 (126%)
Cash: $862 (970% of Medicare)
Ins. Median: $112 (126% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Ahmc Reciprocity Agreement | $18 - $344 | 20% |
| Allied Physicians | $18 - $168 | 20% |
| Altamed Health Network | $18 - $110 | 20% |
| Applecare Medical Group | $18 - $25 | 20% |
| Beverly Hospital | $18 - $123 | 20% |
| Brand New Day | $18 - $140 | 20% |
| Health Net | $18 - $25 | 20% |
| Healthcare Partners | $18 - $110 | 20% |
| Healthy Way La | $18 - $25 | 20% |
| Heritage Provider Network | $18 - $151 | 20% |
| Non Contracted Medi-Cal | $18 - $25 | 20% |
| Talbert Medical Group | $18 - $26 | 20% |
| Memorial Healthcare Ipa | $21 | 24% |
| Aids Health Foundation | $26 - $110 | 29% |
| Avanti | $26 - $134 | 29% |
| Caloptima | $26 - $110 | 29% |
| Emanate Health | $26 - $140 | 29% |
| Health Net Inc | $26 - $882 | 29% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $26 - $36 | 29% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $26 - $36 | 29% |
| Hollywood Presbyterian Medpoint Mcal | $26 - $36 | 29% |
| Kaiser Foundation Hospitals | $26 - $110 | 29% |
| Medi-Cal | $26 - $36 | 29% |
| Medical Safety Net Program | $26 - $36 | 29% |
| Monarch Health Plan | $26 - $779 | 29% |
| Prospect Health Plan | $26 - $151 | 29% |
| Private Pay Flat Rate | $34 | 38% |
| Monarch Healthcare Medical Group | $35 | 39% |
| Msi/Medical Services For Indigents | $52 | 58% |
| Blue Cross Blue Shield | $56 - $198 | 63% |
| Aetna | $72 - $110 | 81% |
| Veterans Administration | $78 | 88% |
| Prospect Medical Group | $101 | 114% |
| Alta Los Angeles Hospital | $105 | 118% |
| Tricare | $106 | 119% |
| Alignment Health Plan | $110 | 124% |
| Apa Aco Inc | $110 | 124% |
| Blue Shield Of California | $110 - $244 | 124% |
| California Health Plan | $110 | 124% |
| Central Health Of California | $110 | 124% |
| Davita Heatlhcare Partners Plan Inc | $110 - $620 | 124% |
| Healthnet | $110 | 124% |
| Humana | $110 | 124% |
| Medicare (plans) | $110 - $574 | 124% |
| Pacificare | $110 | 124% |
| Scan Health Plan | $110 | 124% |
| Seoul Medical Group | $110 - $112 | 124% |
| Wellcare | $110 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $112 | 126% |
| Innovative Integrated Health (Iih)/Orange County Pace | $112 | 126% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $112 | 126% |
| Self-Pay | $112 | 126% |
| Nchp | $116 | 130% |
| Align Senior Care | $117 | 132% |
| Angels Baseball Workers Comp | $127 | 143% |
| UnitedHealthcare | $132 - $330 | 148% |
| Interplan | $134 - $804 | 151% |
| Ahmc Health Self-Insurance Epo | $140 | 157% |
| Knox-Keene Act | $140 | 157% |
| First Health | $144 - $976 | 162% |
| Netcare Life And Health Insurance | $144 - $287 | 162% |
| Orange County Preferred Provider Organization | $144 - $861 | 162% |
| Athens Administrators | $149 | 168% |
| Capp Care | $149 - $861 | 168% |
| Cigna | $149 - $199 | 168% |
| Corvel | $149 - $861 | 168% |
| Marriot Intl | $149 | 168% |
| Non Contracted Workers Comp | $149 | 168% |
| Advance Clinical Research Institute | $172 - $344 | 193% |
| Medical Acquisition Company | $230 - $459 | 259% |
| Affiliated Doctors Of Orange County | $259 - $517 | 291% |
| Healthcare Partners Commercial | $310 - $620 | 349% |
| Huntington Memorial Hospital | $310 - $620 | 349% |
| Genesis Healthcare Ipa Ancillary | $345 - $689 | 388% |
| Affiliated Health Fund | $402 - $804 | 452% |
| Allnet Preferred Provider | $402 - $804 | 452% |
| Care First | $402 - $804 | 452% |
| Private Healthcare Systems | $402 - $804 | 452% |
| Choicecare | $431 - $861 | 485% |
| Multiplan Inc | $431 - $861 | 485% |
| National Provider Network | $460 - $918 | 517% |
| Three Rivers Providers Network | $460 - $918 | 517% |
| Health Payors Organization | $518 - $1,033 | 583% |
| Non Contracted Commercial | $575 - $1,148 | 647% |