CMS Price Transparency Data

X-ray, hand

Facility: Saint Anthony Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $139
Cash Discount Price: $86
vs. Medicare Baseline: 1.56x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Saint Anthony Hospital is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.56x the Medicare baseline. Located in 2875 West 19Th Street, Chicago, IL.

Cash / Self-Pay

$86

Average discount available for prompt cash payment at this facility.

Insurance Median

$139

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: $86 (97%)

Insurance Median: $139 (156%)

Cash: $86 (97% of Medicare)

Ins. Median: $139 (156% 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.

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
Access Community Health Network	$91 - $101	102%
Aetna	$92 - $220	103%
Blue Cross Blue Shield	$92 - $137	103%
Cigna	$92 - $147	103%
Humana	$92	103%
Oak Street Health	$92	103%
UnitedHealthcare	$92 - $247	103%
Zing Health	$92	103%
Healthlink	$168 - $176	189%
Healthsmart	$196 - $206	220%
Galaxy Health Network	$224 - $235	252%
Prime Health	$224 - $235	252%
Zelis Healthcare	$224 - $235	252%

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 $86.
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 Saint Anthony 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.