CMS Price Transparency Data

X-ray, hand

Facility: UMass Memorial Healthalliance Hospitals

Billing Code: 73130 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$111

about 1.2× the $89 Medicare rate · typically $53–$112

modeled estimate · not a bill or quote

What this hospital charges insurers

$111

About the fair price

1.2× Medicare

Medicare pays $89 Fair price $111 This hospital $111 Cash price $319 Hospital's list price $319

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Highest price of the 9 MA hospitals we have prices for — worth calling around.

Cheapest $36 Priciest $111

Black dot = this hospital, among the 9 MA hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, hand is about $111 (about 1.2× the $89 Medicare rate). UMass Memorial Healthalliance Hospitals charges insurers about $111, or about $319 in cash — about the fair price. Located in Leominster, MA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$108 - $319	121%
Blue Cross Blue Shieldmajor	$94 - $115	106%
Aetnamajor	$110 - $209	124%
Cignamajor	$106 - $373	119%
Harvard Pilgrim	$111 - $234	125%
Tufts Health Plan	$104 - $339	117%
+ 12 smaller / regional plans	$104 - $319

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 319), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73130.

Insurance Before you use insurance

Call your insurance company to confirm UMass Memorial Healthalliance Hospitals is in-network.
Ask your insurer whether prior approval is required for CPT code 73130.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at UMass Memorial Healthalliance Hospitals

Compare: X-ray, hand at other MA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.