CMS Price Transparency Data

X-ray, hand

Facility: Munson Healthcare Cadillac Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $61
  • Cash Discount Price: $83
  • vs. Medicare Baseline: 0.69x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Munson Healthcare Cadillac Hospital is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.69x the Medicare baseline. Located in 400 Hobart St, Cadillac, MI.
Cash / Self-Pay
$83

Average discount available for prompt cash payment at this facility.

Insurance Median
$61

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: $83 (93%)
Insurance Median: $61 (69%)
Cash: $83 (93% of Medicare)
Ins. Median: $61 (69% 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.

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
Blue Cross Blue Shield $5 - $128 6%
Mclaren Health Plan $5 - $225 6%
Meridian $5 - $45 6%
Molina $5 - $94 6%
Priority Health $5 - $94 6%
UnitedHealthcare $5 - $222 6%
American Health Associates $8 - $87 9%
Autumnwood Of Mcbain Skilled Nursing $8 - $87 9%
Blue Care Network $8 - $87 9%
Hap (Health Alliance Plan) $8 - $286 9%
Humana $8 - $87 9%
Medicare (plans) $8 - $87 9%
Michigan Amish Medical Board $8 - $87 9%
Promedica $8 - $87 9%
Samaritas Senior Living Skilled Nursing $8 - $87 9%
Wellcare (Meridian) $8 - $87 9%
Aetna $11 - $272 12%
Cofinity $11 - $279 12%
Provider Network Of America Group Health $12 - $304 13%
Asr/Physicians Care $13 - $286 15%
Cigna $13 - $94 15%
Employee Benefits Logistics $14 - $147 16%
Hospice Of Michigan $52 - $215 58%
Munson Hospice $61 - $852 69%
Enterprise Group Planning/Employee Benefit Plan $70 - $286 79%
Medical Cost Savings Solution $70 - $286 79%
Nomi Health $70 - $286 79%
Robbing Group And Regency Employee Benefits $70 - $286 79%
First Health/Coventry Network $74 - $304 83%
Three Rivers Provider Network $74 - $304 83%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 Hobart St, Cadillac, MI 49601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals