CMS Price Transparency Data

X-ray, hand

Facility: Good Samaritan Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $1,771
Cash Discount Price: $3,279
vs. Medicare Baseline: 19.92x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Good Samaritan Hospital is $1,771. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,279. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 19.92x the Medicare baseline. Located in 2425 Samaritan Drive, San Jose, CA.

Cash / Self-Pay

$3,279

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,771

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: $3,279 (3688%)

Insurance Median: $1,771 (1992%)

Cash: $3,279 (3688% of Medicare)

Ins. Median: $1,771 (1992% 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 1992% of the Medicare baseline (a markup of 1892%). 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
Physicians Medical Group	$26	29%
Santa Clara Family Health Plan	$26	29%
Blue Cross Blue Shield	$29 - $210	33%
Cigna	$129 - $3,147	145%
United	$182 - $1,003	205%
Blue Shield	$210	236%
Medcare Partners	$394 - $590	443%
Health Net	$611 - $917	687%
Nx Health Network	$1,574 - $2,361	1770%
Sutter Select	$1,574 - $2,361	1770%
Multiplan	$1,705 - $3,147	1918%
Humana	$1,836 - $2,754	2065%
First Health	$1,994 - $3,934	2243%
Healthsmart	$2,099 - $3,344	2361%
Intercontinental Corporation	$2,099 - $3,147	2361%
Pha Pacific Health Alliance	$2,099 - $3,147	2361%
Ppo Next	$2,099 - $3,147	2361%
Aetna	$4,973 - $5,074	5593%

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 $3,279.
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 Good Samaritan 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.