CMS Price Transparency Data

X-ray, hand

Facility: Marion Communtiy Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $1,053
Cash Discount Price: $3,309
vs. Medicare Baseline: 11.84x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Marion Communtiy Hospital is $1,053. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,309. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 11.84x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.

Cash / Self-Pay

$3,309

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,053

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: $3,309 (3722%)

Insurance Median: $1,053 (1184%)

Cash: $3,309 (3722% of Medicare)

Ins. Median: $1,053 (1184% 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 1184% of the Medicare baseline (a markup of 1084%). 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
United	$182 - $2,354	205%
Avmed	$364 - $1,465	409%
Corvel Corporation	$386	434%
Prime Health	$395	444%
Careworks (Rockport Community)	$407	458%
Marion County Schools	$407	458%
Simply	$467 - $806	525%
Molina Healthcare	$576 - $1,674	648%
Humana	$606 - $1,046	682%
Evolutions	$697 - $1,203	784%
Evolutions Healthcare	$697 - $1,203	784%
Sunshine State Health Plan	$773 - $1,334	869%
Aetna	$909 - $1,570	1022%
Plotkin Health	$1,515 - $2,616	1704%
Prime Health Sheriff	$1,515 - $2,616	1704%
Multiplan	$2,364 - $4,081	2659%
Ppo Next	$2,576 - $4,447	2897%
Novanet	$2,727 - $4,709	3067%

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 $3,309.
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 Marion Communtiy 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.