CMS Price Transparency Data
X-ray, hand
Facility: Claiborne Memorial Medical Center
Billing Code: 73130 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73130
- Insurance Median: $169
- Cash Discount Price: $239
- vs. Medicare Baseline: 1.90x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Claiborne Memorial Medical Center is $169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $239. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.90x the Medicare baseline. Located in 620 East College Street, Homer, LA.
Cash / Self-Pay
$239
Average discount available for prompt cash payment at this facility.
Insurance Median
$169
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: $239 (269%)
Insurance Median: $169 (190%)
Cash: $239 (269% of Medicare)
Ins. Median: $169 (190% 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
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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 | $24 - $158 | 27% |
| Commercial Insurance | $24 - $243 | 27% |
| Meritain Health | $24 - $158 | 27% |
| Ambetter / Centene | $25 | 28% |
| Amerihealth Caritas La | $25 - $104 | 28% |
| Community Health Solution | $25 - $104 | 28% |
| Correctcare Intergrated | $25 - $104 | 28% |
| Healthy Blue | $25 - $104 | 28% |
| Humana | $25 - $243 | 28% |
| Louisiana Hc Connections | $25 - $104 | 28% |
| Magellan Services | $25 - $104 | 28% |
| Medicaid / KanCare | $25 - $104 | 28% |
| UnitedHealthcare | $25 - $104 | 28% |
| Coventry Healthcare | $35 - $146 | 39% |
| Vantage Health Plan Inc | $35 | 39% |
| Geha | $41 - $170 | 46% |
| Health Plus Of La | $41 - $182 | 46% |
| Apwu Healthplan | $44 - $182 | 49% |
| Cigna | $44 - $182 | 49% |
| Great West Healthcare | $44 - $182 | 49% |
| Phcs | $47 - $194 | 53% |
| Ppo Plus | $47 - $194 | 53% |
| Sedgwick Claims Mgmt Serv | $53 - $219 | 60% |
| Workman'S Comp | $53 - $219 | 60% |
| Aarp | $59 - $243 | 66% |
| Accordia National | $59 - $243 | 66% |
| Aflac | $59 - $243 | 66% |
| Alameda Alliance Forhealt | $59 - $243 | 66% |
| American Pioneer | $59 - $243 | 66% |
| Benefit Management | $59 - $243 | 66% |
| Benesys Inc | $59 - $243 | 66% |
| Business Guarantor | $59 - $243 | 66% |
| Chubb | $59 - $243 | 66% |
| Commercial Sr. Care | $59 - $243 | 66% |
| Employee Benefit Services | $59 - $243 | 66% |
| Family Life Insurance Co | $59 - $243 | 66% |
| Farm Bureau Insurance | $59 - $243 | 66% |
| Fiserv Health Benefit | $59 - $243 | 66% |
| Gmp | $59 - $243 | 66% |
| Group And Pension Admin | $59 - $243 | 66% |
| Group Resources | $59 - $243 | 66% |
| Haik Minvielle And Grubbs | $59 - $243 | 66% |
| Harrington Benefit Svs | $59 - $243 | 66% |
| Health Design Plus | $59 - $243 | 66% |
| Health Plan | $59 - $243 | 66% |
| Healthscope Benefits | $59 - $243 | 66% |
| Insurance Management Admi | $59 - $243 | 66% |
| Jefferson National | $59 - $243 | 66% |
| John Alden Health Ins | $59 - $243 | 66% |
| John Hancock | $59 - $243 | 66% |
| Liberty Mutual | $59 - $243 | 66% |
| Mailhandlers Benefit Plan | $59 - $243 | 66% |
| Manhattan Life Ins Co | $59 - $243 | 66% |
| Mega Life And Health | $59 - $243 | 66% |
| Msa Careguard | $59 - $243 | 66% |
| Mutual Of Omaha | $59 - $243 | 66% |
| Nalc Health Benefit Plan | $59 - $243 | 66% |
| Naphcare Inc. | $59 - $243 | 66% |
| New Era Life Ins Co | $59 - $243 | 66% |
| Physicians Mutual | $59 - $243 | 66% |
| Principal Financial Group | $59 - $243 | 66% |
| Prudential Healthcare | $59 - $243 | 66% |
| Self Pay | $59 - $243 | 66% |
| State Farm | $59 - $243 | 66% |
| State Farm Insurance | $59 - $243 | 66% |
| State Mutual Insurance Co | $59 - $243 | 66% |
| Sterling Investors Life | $59 - $243 | 66% |
| Tower Life | $59 - $243 | 66% |
| Transamerica Premier Ins | $59 - $243 | 66% |
| United American | $59 - $243 | 66% |
| United Comm Travelers | $59 - $243 | 66% |
| United Teachers | $59 - $243 | 66% |
| Usable Administrator | $59 - $243 | 66% |
| Visn 16 Cfu | $59 - $243 | 66% |
| Wausau Benefits | $59 - $243 | 66% |
| Webtpa | $59 - $243 | 66% |
| Wells Fargo | $59 - $243 | 66% |
| Woodmen Of The World | $59 - $243 | 66% |
| Blue Cross Blue Shield | $116 | 130% |