CMS Price Transparency Data

X-ray, hand

Facility: West Kendall Baptist Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $138
  • Cash Discount Price: $580
  • vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at West Kendall Baptist Hospital is $138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $580. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.55x the Medicare baseline. Located in 9555 Sw 162 Ave, Miami, FL.
Cash / Self-Pay
$580

Average discount available for prompt cash payment at this facility.

Insurance Median
$138

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: $580 (652%)
Insurance Median: $138 (155%)
Cash: $580 (652% of Medicare)
Ins. Median: $138 (155% 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.

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
Amerigroup $34 - $51 38%
Medicaid / KanCare $34 - $56 38%
Sunshine State $36 - $54 40%
UnitedHealthcare $36 - $893 40%
Wellcare $36 - $54 40%
Aetna $37 - $714 42%
Vista $37 - $55 42%
Medicare (plans) $91 - $123 102%
Blue Cross Blue Shield $94 - $579 106%
Medica Health Plan $97 109%
Humana $99 111%
Avmed $100 - $435 112%
Leon Medical $102 115%
Cigna $104 - $714 117%
Non Contracted $328 369%
Amerihealth $402 452%
International $580 652%
Dimension Health Plan $670 - $804 754%
Affordable $804 904%
Phcs $804 904%
Quality Health $804 904%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9555 Sw 162 Ave, Miami, FL 33196
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals