CMS Price Transparency Data

X-ray, hand

Facility: Caromont Regional Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $128
  • Cash Discount Price: $583
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Caromont Regional Medical Center is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $583. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.44x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.
Cash / Self-Pay
$583

Average discount available for prompt cash payment at this facility.

Insurance Median
$128

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: $583 (656%)
Insurance Median: $128 (144%)
Cash: $583 (656% of Medicare)
Ins. Median: $128 (144% 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.

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 $58 - $257 65%
Carolina Complete Health $58 - $117 65%
Partners Behavioral Health $58 - $117 65%
Alliance Behavioral Health $60 - $119 67%
Amerihealth Caritas $60 - $119 67%
Carolina Complete Health Tailored Plans $60 - $119 67%
UnitedHealthcare $60 - $128 67%
Vaya Behavioral Health $60 - $119 67%
Wellcare $60 - $119 67%
Aetna $92 - $252 103%
Devoted Health $93 105%
Healthteam $93 105%
Longevity Health $93 105%
Molina $93 - $218 105%
Humana $95 - $684 107%
Absolute Total Care $109 - $218 123%
Gaston County Jail $117 - $234 132%
Cigna $139 - $165 156%
Surgery Plus $156 175%
Carolina Caring $222 - $615 250%
Corporate Benefits Service $239 269%
Medcost $264 - $528 297%
Beech Street $318 - $637 358%
Multiplan $318 - $637 358%
Self Pay $349 - $583 393%
First Health Network $369 - $738 415%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2525 Court Dr, Gastonia, NC 28052
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals