CMS Price Transparency Data

X-ray, hand

Facility: Holmes County Hospital and Clinics

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $167
Cash Discount Price: $89
vs. Medicare Baseline: 1.88x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Holmes County Hospital and Clinics is $167. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.88x the Medicare baseline. Located in 239 Bowling Green Road, Lexington, MS.

Cash / Self-Pay

$89

Average discount available for prompt cash payment at this facility.

Insurance Median

$167

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: $89 (100%)

Insurance Median: $167 (188%)

Cash: $89 (100% of Medicare)

Ins. Median: $167 (188% 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
Ms-Can-Molina-Lex	$69	78%
Ms-Can-Magnolia-Lex	$70	79%
Ms-Can-Truecare-Lex	$70	79%
Advhealth-Lex	$129	145%
Cigna	$129	145%
Tricare	$136	153%
Humana	$139	156%
Mpcn-Lex	$144	162%
Molina-Chip-Lex	$148	166%
Magnolia-Chip-Lex	$151	170%
Medadv_Uhc-Lex	$151	170%
Truecare-Chip-Lex	$151	170%
Firstchoice-Lex	$155	174%
Ambetter / Centene	$166	187%
Medadv_Primewell-Lex	$166	187%
Medicare (plans)	$166	187%
Primewell-Lex	$166	187%
United-Lex	$166	187%
Va_Ccn-Lex	$166	187%
United-Options-Lex	$167	188%
Medadv_Uhcdsnp-Lex	$172	193%
Wellcare-Lex	$172	193%
Ppoplus	$173	195%
Devoted_Health-Lex	$175	197%
Firsthealth-Lex	$178	200%
Multiplan-Lex	$178	200%
Blue Cross Blue Shield	$188	211%
Aetna	$189	213%
Phcs-Lex	$200	225%
Molina_Exchange-Lex	$222	250%

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 $89.
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 Holmes County Hospital and Clinics 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.