CMS Price Transparency Data

X-ray, hand

Facility: Sherman Oaks Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $112
Cash Discount Price: $111
vs. Medicare Baseline: 1.26x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Sherman Oaks Hospital is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.26x the Medicare baseline. Located in 4929 Van Nuys Blvd, Sherman Oaks, CA.

Cash / Self-Pay

$111

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: $111 (125%)

Insurance Median: $112 (126%)

Cash: $111 (125% 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
Aids Healthcare Foundation	$26 - $114	29%
Blue Shield Of Promise	$26	29%
Health Net Of Ca	$26 - $163	29%
L.A Care Health Plan	$26 - $111	29%
Molina	$26 - $111	29%
Traditional Medi-Cal	$26	29%
Blue Cross Blue Shield	$38	43%
Alignment	$111	125%
Blue Shield Of Ca, Va	$111	125%
Elite Health Plan	$111	125%
Imperial Health Plan	$111	125%
Managed Health Network	$111	125%
Medicare (plans)	$111	125%
Renal Payer Solutions	$111	125%
Tricare	$111	125%
Usa Senior Care Network	$111	125%
Brand New Day	$112 - $167	126%
Corvel	$127	143%
Zelis Healthcare	$127	143%
Americas Choice Provider Network	$130	146%
Multiplan	$130	146%
Prime Health Services	$130	146%
Three Rivers	$130	146%
Healthsmart Preferred Network	$131	147%
Provider Select	$132	148%
Provider Network Of America	$134	151%
Aetna	$142	160%
Ca Foundation For Medical Center	$145 - $147	163%
Employer Direct Healthcare	$145 - $156	163%
Naphcare	$145 - $173	163%
Worker Comp	$145 - $147	163%

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 $111.
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 Sherman Oaks 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.