CMS Price Transparency Data

X-ray, hand

Facility: Terrebonne General Medical Center - Parish

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $146
Cash Discount Price: $170
vs. Medicare Baseline: 1.64x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Terrebonne General Medical Center - Parish is $146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $170. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.64x the Medicare baseline. Located in 8166 Main Street, Houma, LA.

Cash / Self-Pay

$170

Average discount available for prompt cash payment at this facility.

Insurance Median

$146

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: $170 (191%)

Insurance Median: $146 (164%)

Cash: $170 (191% of Medicare)

Ins. Median: $146 (164% 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
Champ Va	$25	28%
Medicaid / KanCare	$41	46%
UnitedHealthcare	$41 - $230	46%
Aetna	$42 - $112	47%
Amerihealth	$42	47%
Humana	$43 - $237	48%
Ppoplus	$55	62%
Blue Cross Blue Shield	$78 - $199	88%
Dept Of Veterans Affairs	$78	88%
Medicare (plans)	$78	88%
Tricare	$79	89%
Amg	$83	93%
Verity Health	$131	147%
Multiplan Inc	$149	168%
Cigna	$154	173%
Coventry Health Of Louisiana	$184	207%
Vantage Health Plan	$197	222%
Workers Comp	$230	259%
Gilsbar 360	$231	260%

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 $170.
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 Terrebonne General Medical Center - Parish 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.