CMS Price Transparency Data

X-ray, hand

Facility: Clearwater Valley Hospital & Clinics

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $183
Cash Discount Price: $144
vs. Medicare Baseline: 2.06x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Clearwater Valley Hospital & Clinics is $183. 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 2.06x the Medicare baseline. Located in 301 Cedar Street, Orofino, ID.

Cash / Self-Pay

$144

Average discount available for prompt cash payment at this facility.

Insurance Median

$183

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: $183 (206%)

Cash: $144 (162% of Medicare)

Ins. Median: $183 (206% 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 206% of the Medicare baseline (a markup of 106%). 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
Humana	$8 - $652	9%
Nimiipuu Mcr Adv-All Plans	$8 - $367	9%
Regence Blue Shield Mcr	$8 - $363	9%
Veterans Amin-All Plans	$8 - $363	9%
Pacific Source - All Plans	$9 - $363	10%
Blue Cross Blue Shield	$10 - $491	11%
Aetna	$13 - $625	15%
UnitedHealthcare	$14	16%
Cigna	$16 - $605	18%
First Choice-All Plans	$24 - $659	27%
Geha-All Plans	$24 - $659	27%
Idaho Phys Network-All Plans	$24 - $638	27%
Multiplan / Phcs-All Plans	$24 - $652	27%
Corizon Correctnal Med-All Plans	$37 - $491	42%
Regence Blue Shield-All Other Plans	$336 - $672	378%

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 $144.
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 Clearwater Valley Hospital & Clinics 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.