CMS Price Transparency Data

X-ray, hand

Facility: Howard County Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $106
  • Cash Discount Price: $342
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Howard County Medical Center is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $342. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.19x the Medicare baseline. Located in P O Box 406, 1113 Sherman St, St Paul, NE.
Cash / Self-Pay
$342

Average discount available for prompt cash payment at this facility.

Insurance Median
$106

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: $342 (385%)
Insurance Median: $106 (119%)
Cash: $342 (385% of Medicare)
Ins. Median: $106 (119% 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
Aetna $8 - $325 9%
Medica Standard Premier $8 - $34 9%
Medica Elevate $15 - $66 17%
Midland'S Choice $16 - $69 18%
Humana $28 31%
UnitedHealthcare $32 - $328 36%
Blue Cross Blue Shield $33 - $325 37%
Great Plains $33 - $195 37%
Medica Chi $33 - $195 37%
Tricare $33 - $256 37%
Nebraska Total Care - Wellcare $34 38%
Molina Healthcare $35 - $171 39%
Oscar Health $58 65%
Ambetter / Centene $67 75%
Beshp $67 75%
Nebraska Total Care $171 192%
Medica Chi Aco $311 350%
Medica Choice National $311 350%
Medica Ifb Aco $328 369%
Medica Ifb Open Access $328 369%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: P O Box 406, 1113 Sherman St, St Paul, NE 68873
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals