CMS Price Transparency Data

X-ray, hand

Facility: Akron Children's Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $55
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 0.62x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Akron Children's Hospital is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.62x the Medicare baseline. Located in 1 Perkins Square, Akron, OH.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$55

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: $26 (29%)
Insurance Median: $55 (62%)
Cash: $26 (29% of Medicare)
Ins. Median: $55 (62% 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 $8 - $375 9%
Amerihealth Caritas Ohio $8 - $81 9%
Blue Cross Blue Shield $8 - $431 9%
Buckeye Community Health Plan $8 - $79 9%
Caresource $8 - $77 9%
Humana $8 - $405 9%
Molina $8 - $79 9%
UnitedHealthcare $8 - $375 9%
Mmo $13 - $430 15%
Autlcare $33 - $344 37%
Summacare $34 - $358 38%
Cigna $38 - $376 43%
Cenpatico $79 89%
Healthplan (Hometown) $148 166%
Northern Ohio Handicapped Fund (Nohf $157 177%
Ohio Crippled Childrens Fund (Occf $157 177%
Amish Church Fund $218 245%
Medben $331 372%
Summa Health Employee $340 382%
Summacare Preferred Choice Network $343 386%
The Health Plan (Mountaineer Region) $351 395%
Avita-Osu Health Plan $358 403%
The Health Plan (Fna Hometown Health Network) $366 412%
Healthsmart (Fna Emerald Health Network) $382 430%
Embs/Thomas Steel $384 432%
Ohio Health Choice $384 432%
Phcs/Multiplan $384 432%
Enterprise Group Planning $392 441%
Prime Health Services $392 441%
Primenet $392 441%
Quality Care Partners $392 441%
Beechstreet $405 456%
Ohio Preferred Network $405 456%
Paramount $405 456%
Cofinity $410 461%
Health Reach Ohio Health Group $410 461%
Direct Care America $414 466%
First Health Network $414 466%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Perkins Square, Akron, OH 44308
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens