CMS Price Transparency Data

X-ray, hand

Facility: Kaleida Health

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $113
Cash Discount Price: $158
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Kaleida Health is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $158. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.27x the Medicare baseline. Located in 100 High Street, Buffalo, NY.

Cash / Self-Pay

$158

Average discount available for prompt cash payment at this facility.

Insurance Median

$113

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: $158 (178%)

Insurance Median: $113 (127%)

Cash: $158 (178% of Medicare)

Ins. Median: $113 (127% 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
Highmark Wny	$7	8%
Molina Healthcare Of New York, Inc.	$7	8%
Univera Healthcare	$16	18%
Ghi/Emblem Health	$32 - $147	36%
Ghi/Emblem Health - Wchob	$32 - $40	36%
Aetna	$33 - $115	37%
Magnacare	$33 - $43	37%
Magnacare - Wchob	$33 - $43	37%
Univera	$33 - $151	37%
Univera - Wchob	$33 - $147	37%
Independent Health Association	$63 - $206	71%
Independent Health Association - Wchob	$66 - $206	74%
Blue Cross Blue Shield	$74 - $405	83%
Tricare	$103	116%
Wellcare	$113	127%
Fidelis	$117	132%
UnitedHealthcare	$118	133%
Cigna	$127 - $154	143%

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 $158.
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 Kaleida Health 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.