CMS Price Transparency Data

X-ray, hand

Facility: Warner Hospital and Health Services

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $348
Cash Discount Price: $511
vs. Medicare Baseline: 3.91x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Warner Hospital and Health Services is $348. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $511. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.91x the Medicare baseline. Located in 422 W White St, Clinton, IL.

Cash / Self-Pay

$511

Average discount available for prompt cash payment at this facility.

Insurance Median

$348

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: $511 (575%)

Insurance Median: $348 (391%)

Cash: $511 (575% of Medicare)

Ins. Median: $348 (391% 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 391% of the Medicare baseline (a markup of 291%). 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	$163 - $601	183%
Aetna	$168 - $522	189%
Health Alliance Med Adv	$168 - $252	189%
Humana	$168 - $522	189%
Molina Mcr/Mcd Dual	$168 - $252	189%
UnitedHealthcare	$168 - $522	189%
Wellcare Mcr Adv-All Plans	$168 - $252	189%
Harmony Hp Mcaid-All Plans	$213	240%
Medicaid / KanCare	$213	240%
Meridian Hp-All Plans	$213	240%
Molina-All Other Plans	$213	240%
Healthlink Hmo	$319 - $479	359%
City Of Clinton (Employees Serv)-All Plans	$327 - $491	368%
Cigna	$340 - $509	382%
Caterpillar-All Plans	$348 - $522	391%
Multiplan Phcs-All Plans	$348 - $522	391%
Health Alliance-All Other Plans	$360 - $540	405%
Healthlink Ppo/Work Comp-All Other Plans	$360 - $540	405%
Consociate Care Ppo-All Plans	$368 - $552	414%
Hfn Ppo/Epo-All Plans	$368 - $552	414%
Three Rivers-All Plans	$389 - $583	438%

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 $511.
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 Warner Hospital and Health Services 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.