CMS Price Transparency Data

X-ray, hand

Facility: Essentia Health Ada

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $143
Cash Discount Price: $220
vs. Medicare Baseline: 1.61x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Essentia Health Ada is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $220. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.61x the Medicare baseline. Located in 201 9Th Street West, Ada, MN.

Cash / Self-Pay

$220

Average discount available for prompt cash payment at this facility.

Insurance Median

$143

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: $220 (247%)

Insurance Median: $143 (161%)

Cash: $220 (247% of Medicare)

Ins. Median: $143 (161% 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
Itasca Med Care	$88	99%
Primewest	$88	99%
Healthpartners Care Pmap	$116	130%
Medica Access	$119	134%
Sanford Health Plan	$128 - $135	144%
Advocare/Security Health	$143	161%
Blue Cross Blue Shield	$143 - $260	161%
Freedom Blue Ppo	$143	161%
Healthpartners Care Msho / Mcr Adv	$143	161%
Imcare Msho Pcc Prime	$143	161%
Imcare Msho Ref Req	$143	161%
Medica Advantage Solutions	$143	161%
Medica Msho/Dual Solutions	$143	161%
Medica Prime Solution Group	$143	161%
Medicare (plans)	$143	161%
Nd Va Administration	$143	161%
Platinum Blue/Vantage Blue	$143	161%
Primewest Msho	$143	161%
Secure Blue Msho	$143	161%
Ubh Cost Plan	$143	161%
Ubh Msho	$143	161%
Ucare Msho	$143	161%
UnitedHealthcare	$143 - $270	161%
Healthpartners	$181 - $198	204%
Ucare	$196	220%
Cigna	$198	223%
Healthpartners Pcc Prime	$198	223%
Wea	$215 - $229	242%
America'S Ppo	$231	260%
Medica	$248 - $261	279%
Medica Uplan	$248	279%
Wps	$250	281%
Aetna	$253	285%
Blue Plus Pmap Pcc Prime	$260	292%
Medica Choice	$268	301%

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 $220.
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 Essentia Health Ada 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.