CMS Price Transparency Data

X-ray, hand

Facility: Perry County Memorial Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $267
Cash Discount Price: $311
vs. Medicare Baseline: 3.00x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Perry County Memorial Hospital is $267. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $311. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.00x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$311

Average discount available for prompt cash payment at this facility.

Insurance Median

$267

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: $311 (350%)

Insurance Median: $267 (300%)

Cash: $311 (350% of Medicare)

Ins. Median: $267 (300% 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 300% of the Medicare baseline (a markup of 200%). 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
Medicaid / KanCare	$66 - $533	74%
Veterans Administration	$89 - $533	100%
Bc 130	$93 - $426	105%
Group Insurance	$93 - $533	105%
Medicare (plans)	$93 - $139	105%
Workers Compensation	$178 - $266	200%
Nsa	$209 - $329	235%
Guarantor Liable	$249 - $533	280%
Pcmh Insurnace	$278 - $533	313%
Secondary Insurance	$284 - $426	319%
UnitedHealthcare	$284 - $426	319%
Operating Engineers	$303 - $453	341%
Boilermakers Healthcare	$310 - $464	349%
Cigna	$310 - $464	349%
Great West	$310 - $533	349%
Sagxxxx	$310 - $464	349%
Champus	$356 - $533	400%
Ngs American, Inc	$356 - $533	400%
Patoka Valley	$356 - $533	400%
Southwire	$356 - $533	400%
Tricare	$356 - $533	400%
Wausau Benefits	$356 - $533	400%

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 $311.
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 Perry County 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.