CMS Price Transparency Data

X-ray, hand

Facility: Mercy Hospital Washington

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $194
Cash Discount Price: $404
vs. Medicare Baseline: 2.18x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Mercy Hospital Washington is $194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $404. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.18x the Medicare baseline. Located in 901 East 5Th Street, Washington, MO.

Cash / Self-Pay

$404

Average discount available for prompt cash payment at this facility.

Insurance Median

$194

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: $404 (454%)

Insurance Median: $194 (218%)

Cash: $404 (454% of Medicare)

Ins. Median: $194 (218% 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 218% of the Medicare baseline (a markup of 118%). 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
Medicaid / KanCare	$32 - $124	36%
Blue Cross Blue Shield	$44 - $671	49%
Ambetter / Centene	$48	54%
Home State Health Plan Contracted [320187]	$48	54%
Novasys Contracted [320285]	$48	54%
Cigna	$59 - $336	66%
Aetna	$75 - $112	84%
American Health Advantage Of Mo Mcr [10473]	$82	92%
Cherokee Nation Health Serv Contracted [320066]	$82	92%
Cross Timbers Hospice [20098]	$82	92%
Dept Of Veteran Affairs Contracted [320106]	$82	92%
Elara Caring Aspire Hospice Contracted [320433]	$82	92%
Elara Caring Aspire Hospice [20433]	$82	92%
Globalhealth Contracted [320145]	$82	92%
Halo Hcr Inc Hospice Contracted [320432]	$82	92%
Halo Hcr Inc Hospice [20432]	$82	92%
Humana	$82	92%
Kindful Hospice Contracted [320434]	$82	92%
Kindful Hospice [20434]	$82	92%
Medicare (plans)	$82 - $746	92%
Mercy Hospice Okc [20252]	$82	92%
Pace Of The Ozarks Contracted [320518]	$82	92%
Qual Choice Contracted [320325]	$82	92%
Tricare	$82	92%
UnitedHealthcare	$82 - $113	92%
Hope Trust Contracted [320488]	$83	93%
Provider Partners Health Plans Contracted [320450]	$90	101%
Healthscope Contracted [320182]	$104	117%
United Medical Resources Contracted [320454]	$113	127%
Medica Contracted [320239]	$130 - $195	146%
Centivo Contracted [320505]	$138	155%
Preferred Health Plan Contracted [320522]	$146	164%
Healthlink Contracted [320179]	$176 - $507	198%
Aither Health Contracted [320449]	$194 - $291	218%
Aither Health [20449]	$194 - $291	218%
Auxiant Contracted [320462]	$194 - $291	218%
Ebms Contracted [320493]	$194 - $291	218%
Edison Health Solutions Contracted [320502]	$194 - $291	218%
Imagine 360 Contracted [320494]	$194 - $291	218%
Mercy Benefit Admin Contracted [320251]	$194 - $373	218%
Mercy Benefit Admin [20251]	$194 - $373	218%
Reflect Health Contracted [320492]	$194 - $291	218%
Show-Me Health Administrators Contracted [320483]	$194 - $291	218%
Yuzu Health Contracted [320521]	$194 - $291	218%
Health Choices Contracted [320448]	$298 - $448	335%
Health Choices [20448]	$298 - $448	335%
Medical Associates Health Contracted [320444]	$298 - $448	335%
Federal Medical Center Contracted [320127]	$323 - $485	363%
Insurance System Inc Contracted [320465]	$323 - $485	363%
Point C Contracted [320238]	$323 - $485	363%
Tri State Healthcare Coalition Contracted [320379]	$323 - $485	363%
First Health Contracted [320128]	$353 - $530	397%
Multiplan Contracted [320270]	$373 - $560	420%
Workers Comp [20426]	$373 - $597	420%

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 $404.
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 Mercy Hospital Washington 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.