CMS Price Transparency Data

X-ray, hand

Facility: Memorial Hospital and Health Care Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $32
Cash Discount Price: $42
vs. Medicare Baseline: 0.36x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Memorial Hospital and Health Care Center is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.36x the Medicare baseline. Located in 800 W 9Th St, Jasper, IN.

Cash / Self-Pay

$42

Average discount available for prompt cash payment at this facility.

Insurance Median

$32

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: $42 (47%)

Insurance Median: $32 (36%)

Cash: $42 (47% of Medicare)

Ins. Median: $32 (36% 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
Blue Cross Blue Shield	$6 - $92	7%
Aetna	$8 - $92	9%
Caresource In Marketplace	$8 - $115	9%
Chamber Care	$8	9%
Humana	$8 - $92	9%
Mdwise	$8 - $34	9%
Mhs Hoosier Care Connect	$8 - $34	9%
Tricare	$8 - $78	9%
Immergrun	$9 - $40	10%
UnitedHealthcare	$9 - $277	10%
Ambetter / Centene	$10 - $120	11%
Onecare	$10 - $44	11%
Siho	$10 - $44	11%
Cigna	$12 - $52	13%
Noncontracted	$12 - $148	13%
Sagamore	$12 - $52	13%
Encore	$13 - $42	15%
Encore Elite +	$13 - $221	15%
Patoka Valley	$13 - $44	15%

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 $42.
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 and Health Care 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.