CMS Price Transparency Data

X-ray, hand

Facility: Montefiore New Rochelle Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $104
  • Cash Discount Price: $232
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Montefiore New Rochelle Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $232. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.17x the Medicare baseline. Located in 16 Guion Place, New Rochelle, NY.
Cash / Self-Pay
$232

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $232 (261%)
Insurance Median: $104 (117%)
Cash: $232 (261% of Medicare)
Ins. Median: $104 (117% 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
Molina Healthcare Of Ny Affinity $12 - $144 13%
Amidacare $13 - $109 15%
Emblem $13 - $286 15%
Empire $13 - $286 15%
Fidelis $13 - $104 15%
Hamaspik $13 - $113 15%
Medicaid / KanCare $13 15%
Metroplus $13 - $135 15%
Mvp $13 - $213 15%
UnitedHealthcare $13 - $182 15%
Wellcare $13 - $106 15%
Vnsny Choice $15 - $104 17%
Vnsny Select Health $15 17%
Healthfirst $30 - $104 34%
Villagecaremax $104 117%
Centerlight $107 120%
Partners_Health_Plan $109 123%
Humana $115 129%
Aetna $147 - $165 165%
Oscar $165 186%
Cigna $182 205%
Centivo $225 253%
Northwell $280 315%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16 Guion Place, New Rochelle, NY 10802
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals