CMS Price Transparency Data

X-ray, hand

Facility: Adventist Health White Memorial Montebello

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $112
Cash Discount Price: $112
vs. Medicare Baseline: 1.26x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Adventist Health White Memorial Montebello is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $112. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.26x the Medicare baseline. Located in 309 W Beverly Blvd, Montebello, CA.

Cash / Self-Pay

$112

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: $112 (126%)

Insurance Median: $112 (126%)

Cash: $112 (126% 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

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
Altamed Mcal	$36	40%
Bc Mcal	$36	40%
Blue Shield Promise Mcal	$36	40%
Brand New Day Mcal	$36	40%
Healthnet Mcal	$36	40%
Kaiser Mcal	$36	40%
La Care Mcal	$36	40%
Medi-Cal	$36	40%
Molina Mcal - All Plans	$36	40%
Blue Shield Epn Ifp	$50	56%
Aetna	$112 - $351	126%
Alignment Health Plan-All Plans	$112	126%
Altamed Mcare-All Other Plans	$112	126%
Blue Shield Mcare Adv	$112	126%
Brand New Day Mcare-All Other Plans	$112	126%
Brandman Health Plan-All Plans	$112	126%
Caremore-All Plans	$112	126%
Clever Care Hp-All Plans	$112	126%
Easy Choice Mcare Adv-All Plans	$112	126%
Healthnet Med Adv	$112	126%
Kaiser Mcare Adv	$112	126%
Scan Health-All Plans	$112	126%
Oscar-All Plans	$117	132%
Cigna	$164	184%
Healthnet Salud	$190 - $285	214%
Healthnet Comm-All Other Plans	$229 - $343	258%
Blue Shield Epn Core	$271	305%
Blue Shield Comm - All Other Plans	$281	316%
Healthcare Partners-All Plans	$312 - $469	351%
Blue Cross Blue Shield	$423 - $636	476%

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 $112.
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 White Memorial Montebello 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.