CMS Price Transparency Data

X-ray, hand

Facility: High Point Regional Health System

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $168
Cash Discount Price: $200
vs. Medicare Baseline: 1.89x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at High Point Regional Health System is $168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $200. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.89x the Medicare baseline. Located in 601 N Elm St, High Point, NC.

Cash / Self-Pay

$200

Average discount available for prompt cash payment at this facility.

Insurance Median

$168

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: $200 (225%)

Insurance Median: $168 (189%)

Cash: $200 (225% of Medicare)

Ins. Median: $168 (189% 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
Amerihealth	$58 - $130	65%
Carolina Complete	$58	65%
Healthy Blue	$58	65%
Partners	$58	65%
UnitedHealthcare	$58 - $267	65%
Vaya	$58	65%
Wellcare	$58	65%
Alliance	$59	66%
Trillium	$60	67%
Medcost	$107 - $256	120%
Aetna	$119 - $259	134%
Oscar	$120 - $160	135%
Ambetter / Centene	$128	144%
Blue Cross Blue Shield	$155 - $249	174%
Cigna	$219	246%
Directnet	$236	265%
Private Healthcare Systems	$327	368%
Multiplan	$359	404%
Humana	$371 - $379	417%

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 $200.
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 High Point Regional Health System 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.