CMS Price Transparency Data

X-ray, hand

Facility: Mercy Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $445
Cash Discount Price: $303
vs. Medicare Baseline: 5.01x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Mercy Medical Center is $445. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $303. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.01x the Medicare baseline. Located in 2700 Nw Stewart Parkway, Roseburg, OR.

Cash / Self-Pay

$303

Average discount available for prompt cash payment at this facility.

Insurance Median

$445

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: $303 (341%)

Insurance Median: $445 (501%)

Cash: $303 (341% of Medicare)

Ins. Median: $445 (501% 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 501% of the Medicare baseline (a markup of 401%). 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
Umpqua	$75	84%
Moda Health	$95 - $484	107%
Blue Cross Blue Shield	$100 - $337	112%
Healthnet	$100 - $582	112%
Atrio	$101	114%
Providence	$185 - $588	208%
Cigna	$393 - $478	442%
Pacificsource	$393 - $460	442%
Premera	$409 - $509	460%
Aetna	$419 - $552	471%
United	$445 - $521	501%
First Choice	$472 - $552	531%

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 $303.
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 Medical Center 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.