CMS Price Transparency Data

X-ray, hand

Facility: Barnes Jewish Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $198
Cash Discount Price: $183
vs. Medicare Baseline: 2.23x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Barnes Jewish Hospital is $198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $183. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.23x the Medicare baseline. Located in One Barnes-Jewish Hospital Plaza, Saint Louis, MO.

Cash / Self-Pay

$183

Average discount available for prompt cash payment at this facility.

Insurance Median

$198

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: $183 (206%)

Insurance Median: $198 (223%)

Cash: $183 (206% of Medicare)

Ins. Median: $198 (223% 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 223% of the Medicare baseline (a markup of 123%). 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	$58 - $265	65%
Humana	$72	81%
Consociate [478]	$78	88%
Sarah Bush Lincoln [636]	$78	88%
Cigna	$89 - $244	100%
Aetna	$113 - $229	127%
Allied Benefits [498]	$113 - $227	127%
Coresource [497]	$113	127%
Fmh Benefit Service Inc [222]	$113	127%
Mail Handlers [495]	$113	127%
Apwu Health Plan [216]	$123	138%
Nalc Health Benefit Plan [242]	$123	138%
Priority Health [648]	$123	138%
Healthlink [225]	$148 - $230	166%
Cox Health Systems Insurance Company [220]	$168 - $198	189%
Health Alliance [224]	$168	189%
Hope Trust [806]	$177	199%
Healthscope Benefits [258]	$186 - $380	209%
Med-Pay [480]	$198 - $229	223%
Unicare [568]	$198 - $230	223%
First Health Commercial [734]	$227	255%
UnitedHealthcare	$227 - $380	255%
Beechstreet [551]	$229	258%
Detego Health [868]	$229	258%
Health Systems Inc [620]	$229	258%
Healthcare Sol Mercy [609]	$229	258%
Multiplan Commercial [737]	$229	258%
Multiplan [240]	$229	258%
Phcs [244]	$229 - $244	258%
Preferred Health Professionals [561]	$230	259%
Medica [661]	$244	274%
Hfn [563]	$259	291%

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 $183.
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 Barnes Jewish 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.