CMS Price Transparency Data

X-ray, hand

Facility: Ohio Valley Surgical Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $84
  • Cash Discount Price: $216
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Ohio Valley Surgical Hospital is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $216. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.94x the Medicare baseline. Located in 100 West Main Street, Springfield, OH.
Cash / Self-Pay
$216

Average discount available for prompt cash payment at this facility.

Insurance Median
$84

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: $216 (243%)
Insurance Median: $84 (94%)
Cash: $216 (243% of Medicare)
Ins. Median: $84 (94% 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 $42 - $84 47%
Geha $42 - $132 47%
Genworth $42 47%
Mail Handlers $42 47%
Meritain $42 47%
Meritain Heatlh $42 47%
Mhbp $42 47%
Ngs Coresource $42 47%
Nippon Life $42 47%
Pacific Source $42 47%
Personify Health $42 47%
Aarp $84 94%
Aarp Supplemental $84 94%
American Continental Insurance $84 94%
American Continental Life $84 94%
American Republic $84 94%
American Retirement $84 94%
Aultcare Primetime Health Plan $84 94%
Bankers Fidelity $84 94%
Bankers Life And Casualty $84 94%
Blue Cross Blue Shield $84 - $355 94%
Central States $84 94%
Champus $84 94%
Cigna $84 - $136 94%
Communicare Advantage $84 94%
Everest $84 94%
Gateway Health Plan $84 94%
Humana $84 94%
Medicare (plans) $84 - $216 94%
Medigold $84 94%
Mmoh $84 - $166 94%
Molina $84 94%
Molina Dual Mcr $84 94%
Molina Marketplace $84 94%
Molina Dual Mcr $84 94%
Molina Mcr $84 94%
Molina Mcr Mcd $84 94%
Molina Mcr+Mcd $84 94%
Patient No Pay $84 94%
Prosperity Supplement $84 94%
UnitedHealthcare $84 - $132 94%
Wellcare By Allwell $84 94%
Wraparound Pl Supp $84 94%
The Health Plan $88 99%
Self Pay Imaging $95 107%
Employer Direct $97 109%
Devoted Health $98 110%
Caresource $126 142%
Caresourse $126 142%
Medicaid / KanCare $126 142%
Golden Rule $132 148%
Medica $132 148%
Oxford $132 148%
Shl $132 148%
Surest $132 148%
Ushealth $132 148%
Healthgram $136 153%
Nalc $136 153%
Samba $136 153%
Sbma $136 153%
Unified Group $136 153%
Mmo Cin. Hmo $166 187%
Mmoh (Supermed) $166 187%
Luminare Health $324 364%
Medben $324 364%
Ohio Health $324 364%
Preferred Health $324 364%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 West Main Street, Springfield, OH 45502
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals