CMS Price Transparency Data

X-ray, hand

Facility: The Outer Banks Hospital, Inc

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $467
Cash Discount Price: $517
vs. Medicare Baseline: 5.25x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at The Outer Banks Hospital, Inc is $467. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $517. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.25x the Medicare baseline. Located in 4800 South Croatan Highway, Nags Head, NC.

Cash / Self-Pay

$517

Average discount available for prompt cash payment at this facility.

Insurance Median

$467

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: $517 (581%)

Insurance Median: $467 (525%)

Cash: $517 (581% of Medicare)

Ins. Median: $467 (525% 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 525% of the Medicare baseline (a markup of 425%). 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	$215 - $708	242%
Carolina Complete Health [1317]	$226 - $377	254%
Wellcare [1320]	$227 - $378	255%
Amerihealth McAid Adv [1316]	$228 - $380	256%
Liberty Advantage [1313]	$255 - $425	287%
UnitedHealthcare	$261 - $678	294%
Humana	$263 - $439	296%
Aetna	$269 - $904	303%
Longevity Health [1411]	$315 - $526	354%
Nc Dept of Public Safety [1095]	$437 - $728	492%
Medcost [1067]	$446 - $778	502%
Cigna	$589 - $1,097	662%
Multiplan [1031]	$658 - $1,097	740%

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 $517.
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 The Outer Banks Hospital, Inc 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.