CMS Price Transparency Data

X-ray, hand

Facility: Lake Charles Memorial Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $80
Cash Discount Price: $141
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Lake Charles Memorial Hospital is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $141. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.90x the Medicare baseline. Located in 1701 Oak Park Blvd, Lake Charles, LA.

Cash / Self-Pay

$141

Average discount available for prompt cash payment at this facility.

Insurance Median

$80

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: $141 (159%)

Insurance Median: $80 (90%)

Cash: $141 (159% of Medicare)

Ins. Median: $80 (90% 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
Aetna	$37 - $280	42%
Medicaid / KanCare	$37 - $40	42%
Blue Cross Blue Shield	$79	89%
Champus_Va	$79	89%
Cigna	$79 - $176	89%
Medicare (plans)	$79	89%
Tricare	$79	89%
Veterans_Administration	$79	89%
Veterans_Choice-Triwest	$79	89%
Humana	$81 - $276	91%
Meritain	$106	119%
Verity	$113	127%
Blue_Cross_Blue_Shield_La	$127	143%
Ppo_Plus_	$141	159%
Coushatta_Tribe_Dept_Of_Health	$142	160%
Phcs	$164	184%
United_Healthcare_Behavorial_Health	$164	184%
Lwcc	$179	201%
Vantage_Commercial	$182	205%
First_Health	$188	211%
Workers_Compensation	$211	237%
United_Healthcare	$364	409%

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 $141.
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 Lake Charles 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.