CMS Price Transparency Data

X-ray, hand

Facility: Fairfield Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $373
Cash Discount Price: $273
vs. Medicare Baseline: 4.20x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Fairfield Medical Center is $373. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $273. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.20x the Medicare baseline. Located in 401 North Ewing Street, Lancaster, OH.

Cash / Self-Pay

$273

Average discount available for prompt cash payment at this facility.

Insurance Median

$373

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: $273 (307%)

Insurance Median: $373 (420%)

Cash: $273 (307% of Medicare)

Ins. Median: $373 (420% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 420% of the Medicare baseline (a markup of 320%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Caresource	$53 - $7,911	60%
Medicaid / KanCare	$53 - $79	60%
Molina	$53 - $10,041	60%
UnitedHealthcare	$53 - $6,085	60%
Blue Cross Blue Shield	$54 - $26,250	61%
Amerihealth Caritas Ohio	$55 - $83	62%
Buckeye Community Health	$55 - $9,433	62%
Humana	$55 - $5,964	62%
Aetna	$83 - $5,964	93%
Medical Mutual	$83 - $33,500	93%
Medicare (plans)	$83 - $5,964	93%
Medigold	$84 - $6,085	94%
The Health Plan	$84 - $6,083	94%
Va Ccn	$84 - $6,085	94%
Valor Health Plan	$84 - $6,083	94%
Oscar	$109 - $6,157	123%
Bwc	$117 - $8,453	132%
Allied Benefit Systems	$284 - $559	319%
Meritain Health	$284 - $559	319%
Quality Care Partners/Ohio Ppo Connect	$294 - $579	331%
The Ohio State Health Plan	$315 - $619	354%
Cigna	$337 - $662	379%
Ohio Healthy	$384 - $756	432%
Multiplan	$389 - $764	438%
Miscellaneous Plans	$409 - $804	460%

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 $273.
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 Fairfield Medical Center 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.