CMS Price Transparency Data

X-ray, hand

Facility: Piedmont Macon North Hospital

Billing Code: 73130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$93
about 1.0× the $89 Medicare rate · typically $68–$120
modeled estimate · not a bill or quote
What this hospital charges insurers
$98
About the fair price
about $5 over the fair price · 1.1× Medicare
Medicare pays $89 Fair price $93 This hospital $98 Cash price $200 Hospital's list price $666

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $27 Priciest $98

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, hand is about $93 (about 1.0× the $89 Medicare rate). Piedmont Macon North Hospital charges insurers about $98, or about $200 in cash — about the fair price. Located in Macon, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $216 243%
Blue Cross Blue Shieldmajor $44 - $93 49%
Aetnamajor $103 116%
Cignamajor $64 72%
+ 3 smaller / regional plans $433 - $533
Government programs also on file: Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 400 Charter Boulevard, Macon, GA 31210
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals