CMS Price Transparency Data
X-ray, hand
Facility: Mount Carmel Dublin
Billing Code: 73130 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73130
- Insurance Median: $259
- Cash Discount Price: $300
- vs. Medicare Baseline: 2.91x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Mount Carmel Dublin is $259. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $300. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.91x the Medicare baseline. Located in 4105 Emerald Pkwy, Dublin, OH.
Cash / Self-Pay
$300
Average discount available for prompt cash payment at this facility.
Insurance Median
$259
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: $300 (337%)
Insurance Median: $259 (291%)
Cash: $300 (337% of Medicare)
Ins. Median: $259 (291% 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 291% of the Medicare baseline (a markup of 191%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Medicare (plans) | $74 - $88 | 83% |
| Aetna | $82 - $261 | 92% |
| Blue Cross Blue Shield | $82 - $554 | 92% |
| Oscar | $84 | 94% |
| UnitedHealthcare | $84 - $324 | 94% |
| The Health Plan | $86 | 97% |
| Enterprise Group Planning | $162 | 182% |
| Geha | $166 - $324 | 187% |
| Gravie Admin Services | $166 - $249 | 187% |
| Healthez | $166 - $249 | 187% |
| Meritain | $166 - $249 | 187% |
| Webtpa | $166 - $249 | 187% |
| Access Health | $172 - $259 | 193% |
| Acclaim | $172 - $259 | 193% |
| Administrative Concepts | $172 - $259 | 193% |
| Allegeant | $172 - $259 | 193% |
| Allied Benefit Systems | $172 - $259 | 193% |
| American Family | $172 - $259 | 193% |
| American Healthcare Alliance | $172 - $259 | 193% |
| American National | $172 - $259 | 193% |
| American Republic | $172 - $259 | 193% |
| Amerihealth | $172 - $259 | 193% |
| Aultcare | $172 - $259 | 193% |
| Automated Benefit Services | $172 - $259 | 193% |
| Auxiant | $172 - $259 | 193% |
| Benefit Administrative Systems,Llc | $172 - $259 | 193% |
| Boon Chapman | $172 - $259 | 193% |
| Cam Administrative Services | $172 - $259 | 193% |
| Christian Brother Services | $172 - $259 | 193% |
| Christian Brothers Holy Cross | $172 - $259 | 193% |
| Claimchoice Adminstrators | $172 - $259 | 193% |
| Comprehensive Benefits | $172 - $259 | 193% |
| Continental Life Insurance | $172 - $259 | 193% |
| Coventry | $172 - $259 | 193% |
| Custom Benefit Administrators | $172 - $259 | 193% |
| Cypress Benefit Administrators | $172 - $259 | 193% |
| Employee Benefit Concepts | $172 - $259 | 193% |
| Employee Benefit Management | $172 - $259 | 193% |
| Forest County Potawatomi | $172 - $259 | 193% |
| Freedom Life Insurance Company | $172 - $259 | 193% |
| Group Administrators | $172 - $259 | 193% |
| Group Marketing Services | $172 - $259 | 193% |
| Group Pension Administrators | $172 - $259 | 193% |
| Guardian | $172 - $259 | 193% |
| Health America | $172 - $259 | 193% |
| Health Choices | $172 - $259 | 193% |
| Healthcare Management Admin | $172 - $259 | 193% |
| Insight | $172 - $259 | 193% |
| Intercare | $172 - $259 | 193% |
| Jfp Benefit Management | $172 - $259 | 193% |
| Jp Farley Corporation | $172 - $259 | 193% |
| Key Benefit Administrator | $172 - $259 | 193% |
| Liberty Union Life Assurance Co | $172 - $259 | 193% |
| Lucent Health | $172 - $259 | 193% |
| Luminare Health | $172 - $259 | 193% |
| Magnacare | $172 - $259 | 193% |
| Medcost | $172 - $259 | 193% |
| Mutual Health Services | $172 - $259 | 193% |
| Mutual Of Omaha | $172 - $259 | 193% |
| Ncas | $172 - $259 | 193% |
| Nippon Life Ins | $172 - $259 | 193% |
| Nova | $172 - $259 | 193% |
| Painters Union Insurance Fund | $172 - $259 | 193% |
| Physicians Mutual | $172 - $259 | 193% |
| Plumbers Local 98 Insurance Fund | $172 - $259 | 193% |
| Prairie States | $172 - $259 | 193% |
| Preferred One | $172 - $259 | 193% |
| Primary Physician Care | $172 - $259 | 193% |
| Professional Benefit Administrators | $172 - $259 | 193% |
| Secureone Preferred United Plans | $172 - $259 | 193% |
| Siho Insurance Services | $172 - $259 | 193% |
| Sisco Benefits | $172 - $259 | 193% |
| The Loomis Company | $172 - $259 | 193% |
| Trustmark Small Business Benefits | $172 - $259 | 193% |
| U Of M Health Plan | $172 - $259 | 193% |
| Unicare | $172 - $259 | 193% |
| Unified Group Services | $172 - $259 | 193% |
| Us Health And Life | $172 - $259 | 193% |
| Valenz | $172 - $259 | 193% |
| Varipro | $172 - $259 | 193% |
| Wps | $172 - $259 | 193% |
| Rural Carrier Health Benefit Plan | $174 - $261 | 196% |
| Custom Design Benefits | $175 | 197% |
| Humana | $189 - $554 | 213% |
| Quality Care Partners | $190 | 214% |
| American Postal Workers Secondary | $191 | 215% |
| Cigna | $191 | 215% |
| Health Partners | $191 | 215% |
| Healthgram | $191 | 215% |
| Mvp | $191 | 215% |
| Priority Health | $191 | 215% |
| First Health | $194 - $292 | 218% |
| Paramount Hmo | $194 - $292 | 218% |
| Medical Mutual | $206 - $284 | 232% |
| Medben | $221 - $416 | 249% |
| Consociate | $225 - $338 | 253% |
| Health Ohio Network | $225 - $338 | 253% |
| Healthlink Inc | $277 - $416 | 312% |
| Medical Benefits Mutual | $277 - $416 | 312% |
| Ohio Health Choice | $277 - $416 | 312% |
| Ohio Ppo Connect | $277 - $416 | 312% |
| Western & Southern Financial Group | $284 | 319% |
| Ameriben | $295 - $443 | 332% |
| Luminare Health (Detroit) | $295 - $443 | 332% |
| Medi Share | $295 - $443 | 332% |
| Multiplan | $295 - $443 | 332% |
| Ohiohealthy | $295 - $443 | 332% |
| Osu Not Independent Choice | $295 - $443 | 332% |
| Phcs | $295 - $443 | 332% |
| Philadelphia American Life Insurance | $295 - $443 | 332% |
| Twin Valley Psychiatric | $295 - $443 | 332% |
| Health Smart | $314 - $471 | 353% |
| Medicaid / KanCare | $369 - $554 | 415% |