CMS Price Transparency Data

X-ray, hand

Facility: Doctors Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $231
Cash Discount Price: $1,521
vs. Medicare Baseline: 2.60x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Doctors Hospital is $231. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,521. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.60x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.

Cash / Self-Pay

$1,521

Average discount available for prompt cash payment at this facility.

Insurance Median

$231

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: $1,521 (1711%)

Insurance Median: $231 (260%)

Cash: $1,521 (1711% of Medicare)

Ins. Median: $231 (260% 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 260% of the Medicare baseline (a markup of 160%). 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	$13 - $76	15%
Blue Choice	$35	39%
Health One Alliance	$41	46%
Aetna	$62 - $1,118	70%
Ambetter / Centene	$118	133%
Amerigroup	$144 - $288	162%
United	$158 - $913	178%
Absolute Total Care	$183 - $365	206%
Nhc Advantage	$193 - $385	217%
Pruitt Health	$193 - $385	217%
Peach State	$203 - $406	228%
Wellcare	$203 - $406	228%
Prime Health	$221	249%
Rockport United Network	$226	254%
Identity Mco	$231	260%
Centurion	$281 - $562	316%
Americas 1St Choice	$284 - $568	319%
Medcost	$508 - $1,296	571%
Kaiser Permanente	$554 - $1,109	623%
Multiplan	$609 - $1,826	685%
Performax	$690 - $1,379	776%
First Health	$761 - $1,521	856%
Employer'S Health Network	$811 - $1,623	912%
Novanet	$913 - $1,826	1027%

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 $1,521.
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 Doctors 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.