CMS Price Transparency Data

X-ray, hand

Facility: Athur M Blank Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $518
Cash Discount Price: $873
vs. Medicare Baseline: 5.83x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Athur M Blank Hospital is $518. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $873. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.83x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$873

Average discount available for prompt cash payment at this facility.

Insurance Median

$518

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: $873 (982%)

Insurance Median: $518 (583%)

Cash: $873 (982% of Medicare)

Ins. Median: $518 (583% 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 583% of the Medicare baseline (a markup of 483%). 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
Peachstate [43]	$249 - $497	280%
Caresource [61]	$256 - $511	288%
Amerigroup [102]	$268 - $536	301%
Cigna	$385 - $769	433%
Blue Cross Blue Shield	$386 - $1,136	434%
United [5]	$386 - $772	434%
Ambetter / Centene	$390 - $779	439%
Oscar [228]	$390 - $780	439%
Aetna	$392 - $783	441%
Caresource Marketplace Bronze/Silver/Gold [60]	$395 - $791	444%
Kaiser [6]	$396 - $793	445%
Sidecar Health [236]	$402 - $803	452%
Direct Employer Agreements [72]	$407 - $989	458%
Coventry [9]	$408 - $817	459%
Northeast Georgia Heatlh System [808]	$436 - $873	490%
Veracity Benefits [809]	$436 - $873	490%
First Health [74]	$437 - $874	492%
Phcs [93]	$495 - $989	557%
Secure Health [340]	$495 - $989	557%
Beech Street [71]	$524 - $1,048	589%
Multiplan [92]	$570 - $1,141	641%
Novanet [41]	$582 - $1,164	655%

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 $873.
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 Athur M Blank 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.