CMS Price Transparency Data

X-ray, hand

Facility: Adventist Health Tehachapi Valley

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $120
Cash Discount Price: $61
vs. Medicare Baseline: 1.35x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Adventist Health Tehachapi Valley is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $61. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.35x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$61

Average discount available for prompt cash payment at this facility.

Insurance Median

$120

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: $61 (69%)

Insurance Median: $120 (135%)

Cash: $61 (69% of Medicare)

Ins. Median: $120 (135% 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
Aetna	$8 - $121	9%
Healthnet Mcare	$9 - $166	10%
Tricare	$9 - $166	10%
UnitedHealthcare	$9 - $429	10%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$9 - $166	10%
Ah Employee Health Plan - All Plans	$10 - $464	11%
Cigna	$10 - $684	11%
Network Providers- All Plans	$10 - $213	11%
Oscar Health Plan- All Plans	$10 - $142	11%
Blue Shield Epn- All Other Plans	$11 - $371	12%
Coventry- All Plans	$11 - $788	12%
Blue Shield Non-Epn	$12 - $438	13%
Centivo - All Plans	$13 - $374	15%
Healthnet- All Other Plans	$13 - $675	15%
Western Grwrs/Pinnacle - All Plans	$13 - $368	15%
Medi-Cal	$25 - $36	28%
Universal Ipa Mcal Op/Profee Only	$25 - $36	28%
Kaiser Medi-Cal Ip/Op Only	$36	40%
Bc Mcal	$37	42%
Medicare (plans)	$43 - $166	48%
Healthnet Medi-Cal	$44	49%
Khs-Kern Hlth Systm Mcal	$47	53%
Kaiser Ip/Op Only- All Other Plans	$74 - $286	83%
Klhp-Kern Legacy Epo -All Other Plans	$112 - $438	126%
Blue Cross Blue Shield	$117 - $505	132%

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 $61.
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 Tehachapi Valley 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.