CMS Price Transparency Data

X-ray, hand

Facility: Fayette County Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $111
Cash Discount Price: $372
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Fayette County Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $372. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.25x the Medicare baseline. Located in 650 W Taylor St, Vandalia, IL.

Cash / Self-Pay

$372

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $372 (418%)

Insurance Median: $111 (125%)

Cash: $372 (418% of Medicare)

Ins. Median: $111 (125% 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
Aetna	$7 - $687	8%
Cigna	$9 - $746	10%
Health Alliance Mcare	$9 - $318	10%
Healthlink Mcr Adv	$9 - $318	10%
Coventry/Ghp-All Plans	$12 - $647	13%
Multiplan - All Plans	$16 - $846	18%
Health Alliance - All Other Plans	$17 - $822	19%
Blue Cross Blue Shield	$18 - $836	20%
Illinicare - All Plans	$23 - $111	26%
Medicaid / KanCare	$23 - $111	26%
Meridian-All Plans	$23 - $111	26%
UnitedHealthcare	$40 - $826	45%
Healthlink Hmo	$41 - $696	46%
Healthlink Ppo - All Other Plans	$41 - $796	46%
Humana	$212 - $318	238%

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 $372.
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 Fayette County 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.