CMS Price Transparency Data
X-ray, hand
Facility: Avoyelles Hospital
Billing Code: 73130 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73130
- Insurance Median: $318
- Cash Discount Price: $106
- vs. Medicare Baseline: 3.58x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Avoyelles Hospital is $318. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $106. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.58x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$106
Average discount available for prompt cash payment at this facility.
Insurance Median
$318
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: $106 (119%)
Insurance Median: $318 (358%)
Cash: $106 (119% of Medicare)
Ins. Median: $318 (358% 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 358% of the Medicare baseline (a markup of 258%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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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 | $38 - $397 | 43% |
| Amer Contl Ins | $38 - $397 | 43% |
| Coventry | $38 - $397 | 43% |
| First Choice Health | $38 - $397 | 43% |
| Meritan Health | $38 - $706 | 43% |
| Cigna | $54 - $398 | 61% |
| Correct Cr Int Hlt | $54 - $147 | 61% |
| Mcd Amerihealth Caritas | $54 - $147 | 61% |
| Mcd Healthy Blue | $54 - $147 | 61% |
| Mcd La Hc Conn | $54 - $147 | 61% |
| Medicaid / KanCare | $54 - $147 | 61% |
| UnitedHealthcare | $54 - $147 | 61% |
| Mcd Ms | $59 - $162 | 66% |
| Student Assurances | $78 - $706 | 88% |
| Humana | $94 - $400 | 106% |
| Blue Cross Blue Shield | $125 | 141% |
| Ofc Of Grp Bene | $125 | 141% |
| Ppo Plus Llc | $156 - $424 | 175% |
| Zelis Healthcare Bpa | $156 - $424 | 175% |
| Gilsbar | $164 - $445 | 184% |
| Amerind | $234 - $635 | 263% |
| Applied Underwriters | $234 - $635 | 263% |
| Sedgwick | $234 - $635 | 263% |
| Us Dept Of Labor | $234 - $635 | 263% |
| Wc Clms Admin Svcs | $234 - $635 | 263% |
| Wc Clms Mgmnt Walmart | $234 - $635 | 263% |
| Wc Esis | $234 - $635 | 263% |
| Wc Fara | $234 - $635 | 263% |
| Wc Gallagher Bassett | $234 - $635 | 263% |
| Wc Guide One | $234 - $635 | 263% |
| Wc Hartford Med | $234 - $635 | 263% |
| Wc Luba | $234 - $635 | 263% |
| Wc Lwcc | $234 - $635 | 263% |
| Wc Paragon Casino Resort | $234 - $635 | 263% |
| Wc Risk Mgmnt | $234 - $635 | 263% |
| Wc Stone Trust | $234 - $635 | 263% |
| Wc Summit Consulting Hold | $234 - $635 | 263% |
| Wc Travelers Ins | $234 - $635 | 263% |
| Wc Trs Workers Comp Claim | $234 - $635 | 263% |
| Wc Us Dol | $234 - $635 | 263% |
| Wc Zurich | $234 - $635 | 263% |
| Aarp | $260 - $706 | 292% |
| Admin Concepts | $260 - $706 | 292% |
| All Saints Hospice | $260 - $706 | 292% |
| All State | $260 - $706 | 292% |
| Allegiance Health Hospice | $260 - $706 | 292% |
| Allied Natl | $260 - $706 | 292% |
| Amfirst | $260 - $706 | 292% |
| Avoy Parish School Board | $260 - $706 | 292% |
| Avoyelles Parish Sheriff | $260 - $706 | 292% |
| Bollinger | $260 - $706 | 292% |
| Ccmsi | $260 - $706 | 292% |
| Central States | $260 - $706 | 292% |
| Christus Health Plan | $260 - $706 | 292% |
| Compassionate Care Hospic | $260 - $706 | 292% |
| Core Source | $260 - $706 | 292% |
| Coushatta Hlth Dept | $260 - $706 | 292% |
| Ebms | $260 - $706 | 292% |
| Federated Ins | $260 - $706 | 292% |
| Feedom Life | $260 - $706 | 292% |
| Fidelity Standard Life Co | $260 - $706 | 292% |
| Fox Everette | $260 - $706 | 292% |
| Guarantee Trust | $260 - $706 | 292% |
| Heart Of Hospice | $260 - $706 | 292% |
| Hos Christus Hospice | $260 - $706 | 292% |
| Hos Guardian Hospice Care | $260 - $706 | 292% |
| Hos Harbor Hospice Alex | $260 - $706 | 292% |
| Hos La Hospice Palliative | $260 - $706 | 292% |
| Hos Passages Hospice N. | $260 - $706 | 292% |
| Hos St Joseph Hospice | $260 - $706 | 292% |
| Hospice Miscellaneous | $260 - $706 | 292% |
| Ins Mgmnt Admin | $260 - $706 | 292% |
| Ins Tpa | $260 - $706 | 292% |
| Liberty Health Share | $260 - $706 | 292% |
| Lumico | $260 - $706 | 292% |
| Manhattan Life Ins | $260 - $706 | 292% |
| Medi Share | $260 - $706 | 292% |
| Misc Comm | $260 - $706 | 292% |
| Nalc | $260 - $706 | 292% |
| New Era Life | $260 - $706 | 292% |
| North American | $260 - $706 | 292% |
| Phcs | $260 - $706 | 292% |
| Physicians Mutual | $260 - $706 | 292% |
| Pipeline Ind Bene | $260 - $706 | 292% |
| Progressive Auto | $260 - $706 | 292% |
| Reliance Standard Life | $260 - $706 | 292% |
| Rural Carriers | $260 - $706 | 292% |
| Shelter Ins Co | $260 - $706 | 292% |
| Sierre Health And Life | $260 - $706 | 292% |
| State Farm | $260 - $706 | 292% |
| State Mutual | $260 - $706 | 292% |
| Sterling Investors | $260 - $706 | 292% |
| The Health Plan | $260 - $706 | 292% |
| Tribal Hlth Partners | $260 - $706 | 292% |
| Tricare | $260 - $706 | 292% |
| Trustmark Health Benefits | $260 - $706 | 292% |
| Tunica Biloxi | $260 - $706 | 292% |
| Uct | $260 - $706 | 292% |
| Unified Life | $260 - $706 | 292% |
| Usaa Life Ins | $260 - $706 | 292% |
| Web-Tpa | $260 - $706 | 292% |
| Woodmen Of The World | $260 - $706 | 292% |