CMS Price Transparency Data

X-ray, hand

Facility: HCA Healthone Rose

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $754
Cash Discount Price: $2,453
vs. Medicare Baseline: 8.48x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Healthone Rose is $754. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,453. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.48x the Medicare baseline. Located in 4567 E 9Th Ave, Denver, CO.

Cash / Self-Pay

$2,453

Average discount available for prompt cash payment at this facility.

Insurance Median

$754

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: $2,453 (2759%)

Insurance Median: $754 (848%)

Cash: $2,453 (2759% of Medicare)

Ins. Median: $754 (848% 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 848% of the Medicare baseline (a markup of 748%). 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
Blue Cross Blue Shield	$22 - $2,419	25%
United	$138 - $1,471	155%
Pinnacol Workers Comp	$140	157%
Multiplan	$146 - $2,942	164%
Cigna	$172 - $2,092	193%
Rocky Mountain Health Plan	$182	205%
Vail Health	$249 - $497	280%
Kaiser	$327 - $850	368%
Bright Health	$491 - $981	552%
Colorado Program For Children With Special Needs	$737 - $1,471	829%
Aetna	$864 - $1,726	972%
Western Plains Community Health	$1,064 - $2,125	1197%
Northcare	$1,146 - $2,288	1289%
Physician Health Partners	$1,146 - $2,288	1289%
Medical Development International	$1,310 - $2,615	1473%
Rocky Mtn Planned Parenthood	$1,391 - $2,779	1565%
Prime Health	$1,473 - $2,942	1657%

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 $2,453.
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 HCA Healthone Rose 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.