CMS Price Transparency Data

X-ray, hand

Facility: Whittier Hospital Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $134
  • Cash Discount Price: $93
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Whittier Hospital Medical Center is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.51x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$93

Average discount available for prompt cash payment at this facility.

Insurance Median
$134

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: $93 (105%)
Insurance Median: $134 (151%)
Cash: $93 (105% of Medicare)
Ins. Median: $134 (151% 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.

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
Ahmc Medi-Cal Reciprocity Agreement $18 20%
Aids Healthcare Foundation $18 - $110 20%
Allied Physicians $18 - $168 20%
Alta Med Health Network $18 - $110 20%
Altamed Health Services Corporation $18 20%
Beverly Hospital $18 - $123 20%
Brand New Day $18 - $138 20%
Emanate Health $18 - $138 20%
Health Net $18 - $410 20%
Healthy Way La $18 20%
Heritage Provider Network $18 - $151 20%
Kaiser Foundation $18 - $480 20%
La Care Healthy Families/Healthy Kids $18 20%
Non Contracted Medi-Cal $18 20%
Prospect Health Plan $18 - $179 20%
Synermed $18 - $112 20%
La Care Health Plan $21 - $377 24%
Avanti $26 - $134 29%
Blue Cross Blue Shield $26 - $343 29%
Caloptima $26 - $110 29%
Care First Health Plan $26 29%
County Of Los Angeles Dept Of Health Services $26 29%
Hollywood Presbyterian Adv Med Mcal $26 29%
Hollywood Presbyterian Medpoint Mcal $26 29%
Medi Caid/ Medi Cal $26 29%
Monarch Healthplan $26 29%
Pacific Independent Physician Association $26 - $206 29%
Capnet $27 30%
Aetna $35 - $499 39%
Applecare Medical Group $42 47%
Physician Healthways $69 78%
Alliance Imaging $75 84%
Veterans Administration $78 88%
Alta Los Angeles Hospitals Inc $110 124%
Apa/Aco Inc $110 124%
Central Health Plan $110 124%
Easy Choice Health Plan $110 124%
Humana $110 124%
Medicare (plans) $110 - $116 124%
Pacificare Of California $110 124%
Scan Health Plan $110 124%
Blue Shield Of California $112 - $343 126%
Caremore $112 126%
Cov19 Hrsa Uninsured Testing And Treatment Fund $112 126%
La Care Covered Direct $112 126%
Pacific Alliance Medical Center $112 126%
Private Pay $112 126%
Self-Pay $112 126%
Tricare $112 126%
Alignment Health Plan $116 130%
Molina Healthcare Of California $116 130%
San Miguel Health Plan $123 138%
UnitedHealthcare $132 - $412 148%
Chinatown Service Center Pace $134 151%
Ahmc Health $140 157%
Knox-Keene Act $140 157%
Molina Medical Center $140 - $268 157%
Fmc Los Angeles County $141 - $514 159%
Interplan Health Group $144 162%
Athens Administrators Ahmc Work Comp $149 168%
Misc 1 $149 168%
Multiplan Wc $149 168%
Physicians Healthways Medical Corporation $172 193%
Cigna $199 224%
Ahmc Reciprocity $206 232%
Ahmc Reciprocity Agreement Senior/Commercial $206 232%
Wear And Wood $206 - $274 232%
Edward Medical Group $240 270%
Central Health Plan Of California $274 308%
Health Net Inc $274 - $446 308%
Allied Physicians Ipa $309 348%
Healthnet $336 - $476 378%
Prospect Medical $377 424%
Care 1St Health Plan $412 463%
New Horizon Medical Group Inc $412 463%
Cost Containment $446 502%
Davita Healthcare Partners $446 502%
Universal Care $446 - $480 502%
Asi/Flex $480 540%
Us Comp Care $480 540%
Value Healthplan Of California $480 540%
Community Care Network $514 578%
Coventry Health Care $514 578%
Coventry Health Care National Network $514 578%
Interplan Corporation $514 578%
Managed Care Administrators $514 578%
Prohealth $514 578%
Multiplan $583 656%
Commercial Non Contract $686 772%
Medi-Cal Sub Acute $686 772%
One Legacy $686 772%
Great-West Healthcare Of California $2,500 2812%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9080 Colima Rd, Whittier, CA 90605
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals