CMS Price Transparency Data

X-ray, hand

Facility: Rush Memorial Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $416
Cash Discount Price: $290
vs. Medicare Baseline: 4.68x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Rush Memorial Hospital is $416. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $290. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.68x the Medicare baseline. Located in 1300 N Main St, Rushville, IN.

Cash / Self-Pay

$290

Average discount available for prompt cash payment at this facility.

Insurance Median

$416

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: $290 (326%)

Insurance Median: $416 (468%)

Cash: $290 (326% of Medicare)

Ins. Median: $416 (468% 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 468% of the Medicare baseline (a markup of 368%). 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
UnitedHealthcare	$7 - $1,073	8%
Aetna	$8 - $1,234	9%
Caresource Mcr Adv	$8 - $416	9%
Consumers Life Ins-All Plans	$8 - $1,207	9%
Humana	$8 - $1,234	9%
Blue Cross Blue Shield	$9 - $983	10%
My True Advantage - All Plans	$9 - $416	10%
Today'S Option Mcr Adv-All Plans	$9 - $428	10%
Viant Beech St Mcr Adv	$9 - $428	10%
Caresource Marketplace-All Other Plans	$11 - $665	12%
Multiplan-All Plans	$11 - $1,247	12%
Encore Health Services-All Plans	$14 - $1,315	16%
Phcs-All Plans	$14 - $1,073	16%
Siho-All Plans	$14 - $1,234	16%
Cigna	$26 - $1,073	29%
Health Net	$26 - $395	29%
Coventry/First Health-All Plans	$36 - $1,207	40%
Sagamore-All Plans	$617 - $1,234	694%
Community Health Alliance-All Plans	$630 - $1,261	709%

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 $290.
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 Rush 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.