CMS Price Transparency Data

X-ray, hand

Facility: Memorial Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $472
Cash Discount Price: $786
vs. Medicare Baseline: 5.31x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Memorial Medical Center is $472. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $786. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.31x the Medicare baseline. Located in 701 N First St, Springfield, IL.

Cash / Self-Pay

$786

Average discount available for prompt cash payment at this facility.

Insurance Median

$472

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: $786 (884%)

Insurance Median: $472 (531%)

Cash: $786 (884% of Medicare)

Ins. Median: $472 (531% 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 531% of the Medicare baseline (a markup of 431%). 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
Blue Cross Blue Shield	$35 - $786	39%
Healthlink	$47 - $495	53%
Veterans Administration	$66	74%
Medicaid / KanCare	$70	79%
Molina	$72	81%
Aetna	$92 - $597	103%
Health Alliance	$92 - $511	103%
Medicare (plans)	$92 - $786	103%
Tricare	$92	103%
UnitedHealthcare	$92 - $487	103%
Humana	$96 - $472	108%
Commercial Workers Compensation	$173	195%
Illinois Workers Compensation	$182	205%
Current Health Network Ppo	$354	398%
Cigna	$413	465%
Phcs/Multiplan	$424 - $472	477%
6 Degrees Health	$472	531%
Hopetrust	$472	531%
Hst	$472	531%
Magellan	$472	531%
Consociate	$511	575%
Hfn	$511	575%
Preferred Plan	$590	664%
Soi Mcfarland	$590	664%
Soi Rushville	$590	664%
Corvel	$629	707%
Methodist First Choice	$629	707%
Mutual Medical Plans	$668	751%
Liability	$786	884%

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 $786.
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 Memorial Medical Center 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.