CMS Price Transparency Data

X-ray, hand

Facility: OHSU Hospital and Clinics

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $141
  • Cash Discount Price: $497
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at OHSU Hospital and Clinics is $141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $497. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.59x the Medicare baseline. Located in 3181 Sw Sam Jackson Park Road, Portland, OR.
Cash / Self-Pay
$497

Average discount available for prompt cash payment at this facility.

Insurance Median
$141

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: $497 (559%)
Insurance Median: $141 (159%)
Cash: $497 (559% of Medicare)
Ins. Median: $141 (159% 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
Samaritan Health Plan $34 - $244 38%
Care Oregon $78 - $115 88%
Intercommunity Health Network $78 88%
Kaiser Foundation Hospitals $78 - $227 88%
Medicare (plans) $78 - $156 88%
Pacific Source $78 - $765 88%
Humana $98 - $104 110%
Trillium $98 110%
Moda $103 - $606 116%
UnitedHealthcare $104 - $398 117%
Community Health Plan Of Washington $105 - $189 118%
Aetna $106 - $146 119%
Health Net Health Plan Of Oregon, Inc. $112 - $761 126%
Providence Health Plan $117 - $130 132%
Tuality Health $176 198%
Blue Cross Blue Shield $297 334%
Cigna $304 342%
Coventry First Health $410 - $737 461%
First Choice $414 - $745 466%
Molina Exchange $546 - $983 614%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3181 Sw Sam Jackson Park Road, Portland, OR 97239
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals