CMS Price Transparency Data

X-ray, hand

Facility: Cherokee Regional Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $160
  • Cash Discount Price: $144
  • vs. Medicare Baseline: 1.80x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Cherokee Regional Medical Center is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $144. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.80x the Medicare baseline. Located in 300 Sioux Valley Drive, Cherokee, IA.
Cash / Self-Pay
$144

Average discount available for prompt cash payment at this facility.

Insurance Median
$160

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: $144 (162%)
Insurance Median: $160 (180%)
Cash: $144 (162% of Medicare)
Ins. Median: $160 (180% 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
Aetna $85 - $160 96%
Blue Cross Blue Shield $85 - $160 96%
Health Partners $85 - $160 96%
Humana $85 - $160 96%
UnitedHealthcare $85 - $160 96%
Wellpoint $85 - $160 96%
Iowa Total Care $88 - $160 99%
Molina $88 - $160 99%
Admin Concepts $160 180%
American Republic $160 180%
Apw $160 180%
Auxiant $160 180%
Avera $160 180%
Bankers Life $160 180%
Champus $160 180%
Cigna $160 180%
Liability $160 180%
Meridian $160 180%
Meritain $160 180%
Midlands $160 180%
Mutual Of Omaha $160 180%
Occunet $160 180%
Physicians Mutual $160 180%
Private Healthcare $160 180%
Sanford $160 180%
United American $160 180%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Sioux Valley Drive, Cherokee, IA 51012
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals