CMS Price Transparency Data

X-ray, hand

Facility: Pulaski Memorial Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $142
  • Cash Discount Price: $178
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Pulaski Memorial Hospital is $142. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $178. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.60x the Medicare baseline. Located in 616 E 13Th St, Winamac, IN.
Cash / Self-Pay
$178

Average discount available for prompt cash payment at this facility.

Insurance Median
$142

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: $178 (200%)
Insurance Median: $142 (160%)
Cash: $178 (200% of Medicare)
Ins. Median: $142 (160% 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.

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 - $539 8%
Ambetter / Centene $8 - $211 9%
Blue Cross Blue Shield $8 - $453 9%
Caresource Mcaid Hip $8 - $211 9%
Caresource Mcare Hmo $8 - $211 9%
Cenpatico Mcaid Hip $8 - $211 9%
Humana $8 - $548 9%
Mdwise Mcaid Hcc $8 - $17 9%
Mdwise Mcaid Hhw $8 - $17 9%
Mdwise Mcaid Hip - All Other Plans $8 - $211 9%
Mhs Mcaid Hip $8 - $211 9%
Mhs Mcare Allwell $8 - $213 9%
Multiplan - All Plans $8 - $614 9%
Caresource Exch Hmo Hix - All Other Plans $10 - $264 11%
Cigna $13 - $648 15%
Encore Ppo - All Other Plans $13 - $580 15%
Sagamore - All Other Plans $13 - $515 15%
Sagamore Rose Acre $13 - $508 15%
Community Health Alliance - All Plans $16 - $607 18%
Caresource Mcaid Hhw $17 - $34 19%
Cenpatico Mcaid Hhw - All Other Plans $17 - $34 19%
Mhs Mcaid Hhw/Hcc $17 - $34 19%
Encore Workers Comp $22 - $614 25%
Aetna $165 - $245 186%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 616 E 13Th St, Winamac, IN 46996
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals