CMS Price Transparency Data

X-ray, hand

Facility: Modoc Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $710
Cash Discount Price: $818
vs. Medicare Baseline: 7.99x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Modoc Medical Center is $710. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $818. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.99x the Medicare baseline. Located in 1111 N Nagle Street, Alturas, CA.

Cash / Self-Pay

$818

Average discount available for prompt cash payment at this facility.

Insurance Median

$710

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: $818 (920%)

Insurance Median: $710 (799%)

Cash: $818 (920% of Medicare)

Ins. Median: $710 (799% 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 799% of the Medicare baseline (a markup of 699%). 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
Adv Med Mgmt - All Plans	$36	40%
Medi-Cal	$36	40%
Medi-Cal 7/1/24	$36	40%
Multiplan Wc	$84	94%
Ntwrks By Design Wc - All Plans	$88	99%
Integrated Hp Wc	$89	100%
Partnership Hp - All Plans	$126	142%
Blue Shield Mcr Adv	$443	498%
Blue Shield Va	$443	498%
UnitedHealthcare	$443 - $778	498%
Tricare	$467	525%
Healthnet Mcr Adv	$471	530%
Blue Cross Blue Shield	$673 - $748	757%
Blue Shield Exch	$673	757%
Blue Shield Comm - All Other Plans	$747	840%
Carelon - All Plans	$748	841%
Corvel - All Plans	$769	865%
Aetna	$778	875%
Coventry/First Health - All Plans	$778	875%
Galaxy Health - All Plans	$778	875%
Healthnet Comm - All Other Plans	$778	875%
Hmn - All Plans	$778	875%
Integrated Hp - All Other Plans	$778	875%
Interplan - All Plans	$778	875%
Multiplan - All Other Plans	$778	875%
Superior Ca Ppo - All Plans	$778	875%

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 $818.
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 Modoc Medical Center 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.