CMS Price Transparency Data

X-ray, hand

Facility: Memorial Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $340
Cash Discount Price: $302
vs. Medicare Baseline: 3.82x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Memorial Hospital is $340. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $302. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.82x the Medicare baseline. Located in 1454 N County Road 2050 E, Carthage, IL.

Cash / Self-Pay

$302

Average discount available for prompt cash payment at this facility.

Insurance Median

$340

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: $302 (340%)

Insurance Median: $340 (382%)

Cash: $302 (340% of Medicare)

Ins. Median: $340 (382% 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 382% of the Medicare baseline (a markup of 282%). 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
Aetna	$106 - $378	119%
Blue Cross Blue Shield	$106 - $378	119%
Cigna	$106 - $378	119%
Health Alliance	$106 - $378	119%
Humana	$106 - $378	119%
Meridian	$106 - $378	119%
Molina	$106 - $378	119%
UnitedHealthcare	$106 - $378	119%
Consociate	$321 - $378	361%
Healthlink	$321 - $378	361%
Private Healthcare Systems	$321	361%
Integrated Health Plan	$333	375%
First Health Network	$336 - $378	378%
Health Dynamics	$340	382%
Health Payors Org	$340	382%
Iowa Health Solutions	$340	382%
Multiplan	$340	382%
Preferred Plan Inc	$340	382%
Three Rivers Provider Network	$340	382%
Health First Network	$344	387%
Pponext	$344	387%
Corvel	$359	404%

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 $302.
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 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.