CMS Price Transparency Data

X-ray, hand

Facility: Fairview Bethesda Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $197
Cash Discount Price: $136
vs. Medicare Baseline: 2.22x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Fairview Bethesda Hospital is $197. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $136. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.22x the Medicare baseline. Located in 45 10Th St W, Saint Paul, MN.

Cash / Self-Pay

$136

Average discount available for prompt cash payment at this facility.

Insurance Median

$197

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: $136 (153%)

Insurance Median: $197 (222%)

Cash: $136 (153% of Medicare)

Ins. Median: $197 (222% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 222% of the Medicare baseline (a markup of 122%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$6 - $316	7%
Health Partners	$6 - $417	7%
Hennepin Health	$6 - $89	7%
Itasca Medical Care	$6 - $88	7%
Medica	$6 - $387	7%
Primewest	$6 - $88	7%
South Country Health Alliance	$6 - $88	7%
Ucare	$6 - $224	7%
Sanford Health Plan	$8 - $315	9%
Security Health Plan	$8 - $402	9%
UnitedHealthcare	$8 - $306	9%
Wellcare	$8 - $88	9%
America'S Ppo	$169 - $386	190%
First Health	$266 - $439	299%
Multiplan	$276 - $455	310%
Private Healthcare Systems	$276 - $455	310%
Wisconsin Physician Services	$292 - $482	328%

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 $136.
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 Fairview Bethesda Hospital 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.