CMS Price Transparency Data

X-ray, hand

Facility: Barnes-Jewish St Peters Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $206
Cash Discount Price: $178
vs. Medicare Baseline: 2.32x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Barnes-Jewish St Peters Hospital is $206. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $178. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.32x the Medicare baseline. Located in 10 Hospital Dr, Saint Peters, MO.

Cash / Self-Pay

$178

Average discount available for prompt cash payment at this facility.

Insurance Median

$206

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: $178 (200%)

Insurance Median: $206 (232%)

Cash: $178 (200% of Medicare)

Ins. Median: $206 (232% 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 232% of the Medicare baseline (a markup of 132%). 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	$52 - $258	58%
Humana	$62	70%
Consociate [478]	$66	74%
Sarah Bush Lincoln [636]	$66 - $296	74%
Aetna	$84 - $222	94%
Allied Benefits [498]	$84 - $220	94%
Coresource [497]	$84	94%
Fmh Benefit Service Inc [222]	$84	94%
Mail Handlers [495]	$84	94%
Cigna	$90 - $100	101%
Apwu Health Plan [216]	$100	112%
Nalc Health Benefit Plan [242]	$100	112%
Priority Health [648]	$100	112%
Healthlink [225]	$144 - $223	162%
Cox Health Systems Insurance Company [220]	$163 - $192	183%
Health Alliance [224]	$163	183%
Hope Trust [806]	$172	193%
Med-Pay [480]	$192 - $222	216%
Unicare [568]	$192 - $223	216%
First Health Commercial [734]	$220	247%
UnitedHealthcare	$220 - $296	247%
Beechstreet [551]	$222	250%
Detego Health [868]	$222	250%
Health Systems Inc [620]	$222	250%
Healthcare Sol Mercy [609]	$222	250%
Multiplan Commercial [737]	$222	250%
Multiplan [240]	$222	250%
Phcs [244]	$222 - $237	250%
Preferred Health Professionals [561]	$223	251%
Hfn [563]	$237	267%
Medica [661]	$237	267%
Healthscope Benefits [258]	$296	333%
Mh Magellan Health Services [270]	$296	333%

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 $178.
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 St Peters 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.