CMS Price Transparency Data

X-ray, hand

Facility: Mercy Health Rehabilitation Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $270
Cash Discount Price: $280
vs. Medicare Baseline: 3.04x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Mercy Health Rehabilitation Hospital is $270. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $280. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.04x the Medicare baseline. Located in 3180 Belmont Ave, Youngstown, OH.

Cash / Self-Pay

$280

Average discount available for prompt cash payment at this facility.

Insurance Median

$270

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: $280 (315%)

Insurance Median: $270 (304%)

Cash: $280 (315% of Medicare)

Ins. Median: $270 (304% 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 304% of the Medicare baseline (a markup of 204%). 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
Medical Mutual Nas	$138 - $182	155%
Aultcare	$171 - $226	192%
Multiplan	$211 - $279	237%
Aetna	$251 - $332	282%
Ambetter / Centene	$251 - $332	282%
Blue Cross Blue Shield	$251 - $332	282%
Caresource Exchange	$251 - $332	282%
Cigna	$251 - $332	282%
Devoted	$251 - $332	282%
Highmark Ppo Commercial	$251 - $332	282%
Highmark Ppo Exchange	$251 - $332	282%
Humana	$251 - $332	282%
Medicaid / KanCare	$251 - $332	282%
Medical Mutual Exchange	$251 - $332	282%
Medical Mutual Medflex	$251 - $332	282%
Medical Mutual New Biz	$251 - $332	282%
Medical Mutual Supermed Commercial	$251 - $332	282%
Medical Mutual Traditional Commercial	$251 - $332	282%
Medicare (plans)	$251 - $332	282%
Molina Exchange	$251 - $332	282%
UnitedHealthcare	$251 - $332	282%
Upmc	$251 - $332	282%

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 $280.
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 Mercy Health Rehabilitation Hospital 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.