CMS Price Transparency Data

X-ray, hand

Facility: Harlem Hospital Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $71
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.80x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Harlem Hospital Center is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.80x the Medicare baseline. Located in 506 Lenox Avenue, New York, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$71

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%)
Insurance Median: $71 (80%)
Ins. Median: $71 (80% 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
Aetna $7 - $1,131 8%
Healthfirst $7 - $161 8%
United $8 - $187 9%
Amidacare $9 - $71 10%
Emblem $9 - $187 10%
Wellcare $10 - $140 11%
Metroplus $12 - $161 13%
Fidelis $13 - $161 15%
Oscar $14 - $156 16%
Oxford $67 - $140 75%
Cigna $70 - $175 79%
Blue Cross Blue Shield $71 - $187 80%
Carelon $71 - $152 80%
Senior Whole Health $71 80%
United Behavioral Health $71 - $79 80%
Affinity $73 - $161 82%
Carelon (Amida Care) $73 82%
Vnsny $73 - $199 82%
Vaccn $104 117%
Centers Plan For Healthy Living $108 121%
Centerlight $117 132%
Elderplan $152 - $208 171%
Magnacare $175 197%
Multiplan $187 210%
Local 1199 $199 224%
Villagecare Max $199 224%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 Lenox Avenue, New York, NY 10037
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals