CMS Price Transparency Data

X-ray, hand

Facility: Perham Health

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $111
Cash Discount Price: $201
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Perham Health is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $201. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.25x the Medicare baseline. Located in 1000 Coney Street West, Perham, MN.

Cash / Self-Pay

$201

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $201 (226%)

Insurance Median: $111 (125%)

Cash: $201 (226% of Medicare)

Ins. Median: $111 (125% 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
Blue Cross Blue Shield	$86 - $209	97%
Health Partners Mcr Adv	$105	118%
Humana	$105	118%
Medica Mcr Adv	$105	118%
Medicare (plans)	$105 - $117	118%
Ucare Mn Senior Health Options	$105	118%
UnitedHealthcare	$108 - $241	121%
Ucare Mn Special Needs Basic Care Dual	$110	124%
Medicaid / KanCare	$111	125%
Ucare Mn Medical Assistance	$111	125%
Ucare Mn Minnesota Care	$111	125%
Ucare Mn Senior Care Plus	$111	125%
Ucare Mn Special Needs Basic Care	$111	125%
Medica Mcaid Mn Care	$113	127%
Medica Mn (Msho)	$127	143%
Ucare Individual And Family Plan-All Other Plans	$128	144%
Medica Mn Senior Hp/Outside Mn	$141	159%
Health Partners Minnesota Care	$154	173%
Medica Commercial-All Other Plans	$226	254%
Preferred One (Pchp, Pic, Pas)-All Other Plans	$232	261%
Health Partners-All Plans	$253	285%
Preferred One (Ppo)	$263	296%
Sanford Health Plan-All Plans	$263	296%

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 $201.
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 Perham Health 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.