CMS Price Transparency Data

X-ray, hand

Facility: Methodist Hospitals Inc

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $274
Cash Discount Price: $553
vs. Medicare Baseline: 3.08x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Methodist Hospitals Inc is $274. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $553. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.08x the Medicare baseline. Located in 600 Grant St, Gary, IN.

Cash / Self-Pay

$553

Average discount available for prompt cash payment at this facility.

Insurance Median

$274

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: $553 (622%)

Insurance Median: $274 (308%)

Cash: $553 (622% of Medicare)

Ins. Median: $274 (308% 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 308% of the Medicare baseline (a markup of 208%). 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	$66 - $679	74%
Caresource	$66	74%
Humana	$66 - $92	74%
Managed Health Services	$66	74%
Medicaid / KanCare	$66	74%
UnitedHealthcare	$66 - $354	74%
Aetna	$92 - $585	103%
Medicare (plans)	$92	103%
United Heathcare	$92	103%
Zing	$93	105%
Caresource Maketplace	$151	170%
Ambetter / Centene	$183	206%
Cigna	$303 - $329	341%
Magnacare	$435	489%
Physicians Health Plan Of Northern Indiana	$457	514%
Encore	$474 - $703	533%
Phcs	$537	604%
Siho	$553	622%
Sagamore	$569	640%
Multiplan	$577	649%
Hfn	$616 - $672	693%

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 $553.
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 Methodist Hospitals Inc 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.