CMS Price Transparency Data

X-ray, hand

Facility: Southern Ocean Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $114
Cash Discount Price: $96
vs. Medicare Baseline: 1.28x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Southern Ocean Medical Center is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.28x the Medicare baseline. Located in 1140 Rt 72 W, Manahawkin, NJ.

Cash / Self-Pay

$96

Average discount available for prompt cash payment at this facility.

Insurance Median

$114

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: $96 (108%)

Insurance Median: $114 (128%)

Cash: $96 (108% of Medicare)

Ins. Median: $114 (128% 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
Karna	$15 - $69	17%
UnitedHealthcare	$39 - $219	44%
Amerihealth	$58 - $59	65%
Aetna	$68 - $431	76%
Blue Cross Blue Shield	$96	108%
Vaccn	$96	108%
Wellcare	$96	108%
Clover	$99	111%
Cigna	$100 - $440	112%
United Community/Americhoice	$101	114%
Seoul Medical Group	$113	127%
Oxford	$219 - $298	246%
Horizon	$358 - $503	403%
Bergen Risk	$412	463%
Brighton Health Plan	$440	495%
Multiplan - PHCS	$468	526%
Qualcare	$499	561%

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 $96.
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 Southern Ocean Medical Center 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.