CMS Price Transparency Data

X-ray, hand

Facility: Memorial Hospital for Cancer and Allied Diseases

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $64
Cash Discount Price: $75
vs. Medicare Baseline: 0.72x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Memorial Hospital for Cancer and Allied Diseases is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.72x the Medicare baseline. Located in 1275 York Ave, New York, NY.

Cash / Self-Pay

$75

Average discount available for prompt cash payment at this facility.

Insurance Median

$64

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: $75 (84%)

Insurance Median: $64 (72%)

Cash: $75 (84% of Medicare)

Ins. Median: $64 (72% 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
Aetna	$9 - $275	10%
Fidelis	$9 - $111	10%
Healthfirst	$9 - $445	10%
Metroplus	$9 - $482	10%
Emblem	$21 - $573	24%
Oxford	$31 - $465	35%
Empire	$34 - $235	38%
Magnacare	$36 - $594	40%
UnitedHealthcare	$39 - $1,198	44%
Urn	$39 - $527	44%
6 Degrees Health	$40 - $579	45%
Cigna	$40 - $565	45%
Multiplan	$45 - $668	51%

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 $75.
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 Memorial Hospital for Cancer and Allied Diseases 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.