CMS Price Transparency Data

X-ray, hand

Facility: Albany Medical Center Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $29
Cash Discount Price: $54
vs. Medicare Baseline: 0.33x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Albany Medical Center Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.33x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.

Cash / Self-Pay

$54

Average discount available for prompt cash payment at this facility.

Insurance Median

$29

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: $54 (61%)

Insurance Median: $29 (33%)

Cash: $54 (61% of Medicare)

Ins. Median: $29 (33% 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
Cdphp	$5 - $116	6%
Blue Cross Blue Shield	$6 - $116	7%
Fidelis	$6 - $178	7%
Medicare (plans)	$6 - $40	7%
Hamaspik	$7 - $142	8%
Medicaid / KanCare	$7 - $33	8%
Tricare	$7 - $35	8%
Aetna	$8 - $113	9%
Blue Shield Highmark	$8 - $94	9%
Mvp	$8 - $99	9%
UnitedHealthcare	$8 - $378	9%
Emblem Health Ghi	$9 - $76	10%
Nascentia	$9 - $38	10%
Cigna	$12 - $57	13%
Nys Department Of Corrections	$19 - $72	21%
Blue Shield	$25 - $64	28%
Nascentia Health Options	$54	61%
Emblem	$55 - $91	62%
Empire Plan Nyship	$86 - $378	97%
Emblem_Ghi	$91	102%
Multiplan	$91 - $401	102%
Magnacare	$92	103%
Mvp Commercial	$96	108%
Mvp Essential Plan	$111	125%

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 $54.
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 Albany Medical Center Hospital 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.