CMS Price Transparency Data

X-ray, hand

Facility: Harrison County Community Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $151
Cash Discount Price: $169
vs. Medicare Baseline: 1.70x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Harrison County Community Hospital is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $169. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.70x the Medicare baseline. Located in 2600 Miller Street, Bethany, MO.

Cash / Self-Pay

$169

Average discount available for prompt cash payment at this facility.

Insurance Median

$151

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: $169 (190%)

Insurance Median: $151 (170%)

Cash: $169 (190% of Medicare)

Ins. Median: $151 (170% 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
Multiplan	$31 - $208	35%
Cigna	$32 - $208	36%
Provider Partners Health Plans	$32 - $163	36%
Care Improvement Plus	$33 - $151	37%
Blue Cross Blue Shield	$34 - $229	38%
Allwell	$37 - $151	42%
Ambetter / Centene	$37 - $151	42%
Blue Advantage Plus	$37 - $151	42%
Humana	$37 - $234	42%
UnitedHealthcare	$37 - $221	42%
Aetna	$45 - $229	51%
6 Degrees Health	$46 - $208	52%
Healthy Blue	$100 - $105	112%
Home State	$100 - $105	112%
Wellmark	$208	234%

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 $169.
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 Harrison County Community 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.