CMS Price Transparency Data

X-ray, hand

Facility: Boone County Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $62
  • Cash Discount Price: $138
  • vs. Medicare Baseline: 0.70x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Boone County Hospital is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $138. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.70x the Medicare baseline. Located in 1015 Union Street, Boone, IA.
Cash / Self-Pay
$138

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

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: $138 (155%)
Insurance Median: $62 (70%)
Cash: $138 (155% of Medicare)
Ins. Median: $62 (70% 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
Choice Care Mcr Adv - All Plans $18 - $228 20%
Humana $18 - $501 20%
Iowa Hlth Adv - All Plans $18 - $228 20%
Mt Carmel Hp - All Plans $18 - $228 20%
UnitedHealthcare $18 - $326 20%
Va Ccn-All Plans $18 - $228 20%
Aetna $19 - $434 21%
Amerigroup Mcr Adv - All Other Plans $19 - $230 21%
Meridian Mcaid - All Plans $20 - $250 22%
Iowa Total Care Mcaid - All Plans $21 - $255 24%
Medicaid / KanCare $21 - $258 24%
Healthsmart Accell Network $32 - $389 36%
Medical Associates Hp-All Plans $34 - $417 38%
Healthsmart Ppo - All Other Plans $36 - $445 40%
Health Alliance-All Plans $40 - $501 45%
Midlands Choice-All Plans $41 - $512 46%
Mutually Preferred-All Plans $43 - $528 48%
Wellmark Hmo $58 65%
Wellmark Ppo - All Other Plans $64 72%
Tricare $89 100%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1015 Union Street, Boone, IA 50036
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals