CMS Price Transparency Data
X-ray, hand
Facility: Saint Alphonsus Medical Center Ontario
Billing Code: 73130 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73130
- Insurance Median: $95
- Cash Discount Price: $258
- vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Saint Alphonsus Medical Center Ontario is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $258. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.07x the Medicare baseline. Located in 351 Sw 9Th Street, Ontario, OR.
Cash / Self-Pay
$258
Average discount available for prompt cash payment at this facility.
Insurance Median
$95
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: $258 (290%)
Insurance Median: $95 (107%)
Cash: $258 (290% of Medicare)
Ins. Median: $95 (107% 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 |
|---|---|---|
| Medicaid / KanCare | $6 - $143 | 7% |
| Aetna | $7 - $451 | 8% |
| Ambetter / Centene | $7 - $143 | 8% |
| Amish Mennonite | $7 - $143 | 8% |
| Bcccp-Michigan | $7 - $143 | 8% |
| Bccp | $7 - $143 | 8% |
| Blue Cross Blue Shield | $7 - $517 | 8% |
| Bmc Healthnet | $7 - $143 | 8% |
| Breast Grant-Connecticut | $7 - $143 | 8% |
| California Health And Wellness | $7 - $143 | 8% |
| Cardinal Innovations Lme | $7 - $143 | 8% |
| Care Oregon Ohp | $7 - $143 | 8% |
| Cencal Health Plan | $7 - $143 | 8% |
| Cenpatico | $7 - $143 | 8% |
| Chhuny | $7 - $143 | 8% |
| Childrens Comm Health Plan | $7 - $143 | 8% |
| Childrens Medical Services Title 19 | $7 - $143 | 8% |
| Cigna | $7 - $447 | 8% |
| Community Benefit Health | $7 - $143 | 8% |
| Community Care Behavorial Health | $7 - $143 | 8% |
| Community Health Choice | $7 - $143 | 8% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $7 - $143 | 8% |
| Dean Wi Badgercare | $7 - $143 | 8% |
| Delaware First Health | $7 - $143 | 8% |
| Delta Dental Nj | $7 - $143 | 8% |
| Dph Tb Program | $7 - $143 | 8% |
| Dscc | $7 - $143 | 8% |
| Eastpointe Lme | $7 - $143 | 8% |
| Family Health Network | $7 - $143 | 8% |
| Freedom First Healthcare | $7 - $143 | 8% |
| Ghc Scw Wi Badgercare | $7 - $143 | 8% |
| Harbor Health | $7 - $143 | 8% |
| Health Safety Net | $7 - $143 | 8% |
| Healthy Blue Ne | $7 - $143 | 8% |
| Hennepin Health | $7 - $143 | 8% |
| Humana | $7 - $419 | 8% |
| Idaho Womens Health Check | $7 - $143 | 8% |
| Indiana Breast Cervical Cancer | $7 - $143 | 8% |
| Inland Empire Health Plan | $7 - $143 | 8% |
| Intercommunity Health Ohp | $7 - $143 | 8% |
| Iowa Total Care | $7 - $143 | 8% |
| Jai Medical System | $7 - $143 | 8% |
| Kern Family Health Plan | $7 - $143 | 8% |
| Keystone First | $7 - $143 | 8% |
| Keystone First Chip | $7 - $143 | 8% |
| La Care Health Plan | $7 - $143 | 8% |
| Lakeland Care Inc | $7 - $143 | 8% |
| Managed Health Services - Indiana | $7 - $143 | 8% |
| Maryland Breast & Cervical Program | $7 - $143 | 8% |
| Maryland Healthy Smiles - Scion Dental | $7 - $143 | 8% |
| Maryland Physicians Care | $7 - $143 | 8% |
| Massachusetts Behavioral Health Partnership | $7 - $143 | 8% |
| Mdwise | $7 - $143 | 8% |
| Medi-Cal | $7 - $143 | 8% |
| Medi-Cal Healthnet | $7 - $143 | 8% |
| Medstar Dc Healthy Family | $7 - $143 | 8% |
| Medstar Md Health Choice | $7 - $143 | 8% |
| Mo Home State Health Plan | $7 - $143 | 8% |
| Molina Centennial Care | $7 - $143 | 8% |
| Nascentia Health Options | $7 - $143 | 8% |
| Nebraska Total Care | $7 - $143 | 8% |
| New York Cancer Services Program | $7 - $143 | 8% |
| Nextlevel Health | $7 - $143 | 8% |
| Oregon Screenwise | $7 - $143 | 8% |
| Pace Of Southwest Michigan | $7 - $143 | 8% |
| Paramount Advantage | $7 - $143 | 8% |
| Parkland Community Health Plan | $7 - $143 | 8% |
| Partners Behavioral Lme | $7 - $143 | 8% |
| Peach State Healthplan | $7 - $143 | 8% |
| Presbyterian Centennial Care | $7 - $143 | 8% |
| Prestige Health Choice | $7 - $143 | 8% |
| Priority Partners | $7 - $143 | 8% |
| Rx 340B Pass Along | $7 - $143 | 8% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $7 - $143 | 8% |
| Rx Medi-Cal | $7 - $143 | 8% |
| Rx Meridian Rx | $7 - $143 | 8% |
| Sandhills Center Lme | $7 - $143 | 8% |
| Screening For Life | $7 - $143 | 8% |
| Sunshine State Health Plan | $7 - $143 | 8% |
| Superior Health | $7 - $143 | 8% |
| Tenncare | $7 - $143 | 8% |
| Texas Children'S Health Plan | $7 - $143 | 8% |
| Trillium Community Ohp | $7 - $143 | 8% |
| Tufts Health Public Plans | $7 - $143 | 8% |
| UnitedHealthcare | $7 - $457 | 8% |
| Vaya Health Lme | $7 - $143 | 8% |
| Wellsense Health Plan | $7 - $143 | 8% |
| Wi Womens Wellness | $7 - $143 | 8% |
| Align Senior Care | $8 | 9% |
| Ally Align Care Adv | $8 | 9% |
| American Health Advantage Of Idaho | $8 - $106 | 9% |
| American Health Plan | $8 | 9% |
| Aurora Special Needs | $8 | 9% |
| Blue Care Network Advantage | $8 | 9% |
| Blue Shield - De (Highmark) Medciare Advantage | $8 | 9% |
| Care Dimensions | $8 | 9% |
| Care Improvement Plus | $8 | 9% |
| Care Resources Pace | $8 | 9% |
| Careplus Health Plans | $8 | 9% |
| Cca - Zing Health | $8 | 9% |
| Cca Senior Care Options | $8 | 9% |
| Central Valley Medical Services Corp Pace | $8 | 9% |
| Champion Health Plan Mcr Advantage | $8 | 9% |
| Clear Spring Health | $8 | 9% |
| Clover Health | $8 | 9% |
| Commonwealth Care Alliance | $8 | 9% |
| Community Pace At Home | $8 | 9% |
| Eddy Senior Care-Pace | $8 | 9% |
| Eddy Seniorcare Pace | $8 | 9% |
| Elementcare | $8 | 9% |
| Evercare | $8 | 9% |
| Everence | $8 | 9% |
| Gateway Health Plan | $8 | 9% |
| Genesys Pace Of Genesee County | $8 | 9% |
| Georgia Health Advantage | $8 | 9% |
| Gold Advantage | $8 | 9% |
| Gpa Croell Redi Mix | $8 | 9% |
| Health America Advantra | $8 | 9% |
| Highmark Health Options Dual Plan | $8 | 9% |
| Hope Select Pace | $8 | 9% |
| Horizon Nj Total Care | $8 | 9% |
| Hudson Headwaters Pace | $8 | 9% |
| Huron Valley Pace | $8 | 9% |
| Innovative Integrated Health Community Plans | $8 | 9% |
| Iowa Health Advantage | $8 | 9% |
| Johns Hopkins Advantage Md | $8 | 9% |
| Lasso Healthcare Msa | $8 | 9% |
| Life St Marys Pace | $8 | 9% |
| Lifecircles Pace | $8 | 9% |
| Longevity Health Plan | $8 | 9% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $8 | 9% |
| Martins Point Generations Advantage | $8 | 9% |
| Mass General Brigham Mcr Adv | $8 | 9% |
| Medicare (plans) | $8 - $109 | 9% |
| Medipak Advantage | $8 | 9% |
| Mercy Life | $8 | 9% |
| Mercyone Cedar Valley | $8 | 9% |
| Meridian Complete | $8 | 9% |
| Michigan Complete Health | $8 | 9% |
| Nascentia Health Plus | $8 | 9% |
| New Centry Health Careplus | $8 | 9% |
| Osu Prime Care Advantage | $8 | 9% |
| Pace Cny | $8 | 9% |
| Pace Iowa Immanuel Pathways | $8 | 9% |
| Pace Southeast | $8 | 9% |
| Pace-Trinity Health | $8 | 9% |
| Peak Pace Solutions | $8 | 9% |
| Perennial Advantage | $8 | 9% |
| Preferred Care Partners | $8 | 9% |
| Presbyterian Senior Plan | $8 | 9% |
| Provider Partners Health Plan Of Illinois | $8 | 9% |
| Provider Partners Health Plan Of Indiana | $8 | 9% |
| Pruitthealth Premier | $8 | 9% |
| Reliance Community Care Partners Care Resources Pace | $8 | 9% |
| Rx Allwin | $8 | 9% |
| Rx Grane Grnmedd | $8 | 9% |
| Rx Retiree Rx Care | $8 | 9% |
| Scan Health Plan Mcr Ipa Meritage Oon | $8 | 9% |
| Secure Horizons Ma Pffs | $8 | 9% |
| Serenity Pace | $8 | 9% |
| Siouxland Pace | $8 | 9% |
| Solis Health Plans | $8 | 9% |
| Sunnyview-Pace Finance Dept | $8 | 9% |
| Texan Plus | $8 | 9% |
| The Health Plan | $8 | 9% |
| Thome Pace | $8 | 9% |
| Todays Options | $8 | 9% |
| Tribute Health Plans | $8 | 9% |
| Um Health Advantage | $8 | 9% |
| Union Health Service | $8 | 9% |
| Welbe Health | $8 | 9% |
| Wellmed | $8 | 9% |
| Pacificsource Health Plans | $45 - $447 | 51% |
| Selecthealth | $54 - $428 | 61% |
| Ada County Jail Inmate Ins | $95 - $143 | 107% |
| Centurion Of Idaho | $95 - $143 | 107% |
| Id County Ada | $95 - $143 | 107% |
| Id County Canyon | $95 - $143 | 107% |
| Id County Cat Fund | $95 - $143 | 107% |
| Id County Payette | $95 - $143 | 107% |
| Mountain Health Co-Op | $190 - $286 | 214% |
| Moda Health | $201 - $462 | 226% |
| Healthcare Management Admin | $228 - $457 | 256% |
| Allegiance | $241 - $362 | 271% |
| Correctional Health Partners | $247 - $371 | 278% |
| Columbia Health Network | $254 - $381 | 286% |
| Blue Benefit Administrators Of Massachusetts | $258 - $517 | 290% |
| Blue Care Network | $258 - $517 | 290% |
| Blue Distinction Transplant | $258 - $517 | 290% |
| Blue Shield - Ca | $258 - $517 | 290% |
| Blue Shield - Id (Regence) | $258 - $517 | 290% |
| Blue Shield - Ny Highmark Northeastern | $258 - $517 | 290% |
| Blue Shield - Ny Highmark Western | $258 - $517 | 290% |
| Blue Shield - Pa (Highmark) | $258 - $517 | 290% |
| Blue Shield - Wa (Regence) | $258 - $517 | 290% |
| Healthnet | $266 - $400 | 299% |
| Webtpa | $274 - $428 | 308% |
| Allied National Global Care | $285 - $428 | 321% |
| Asrm - Reliance Standard Life Insurance | $285 - $428 | 321% |
| Christian Care Ministry | $285 - $428 | 321% |
| Dean Health | $285 - $428 | 321% |
| Fallon Health | $285 - $428 | 321% |
| Family Life Insurance Company | $285 - $428 | 321% |
| First Choice Health | $285 - $428 | 321% |
| Ghc Scw | $285 - $428 | 321% |
| International Benefit Administrators | $285 - $428 | 321% |
| Lifetime Benefit Solutions | $285 - $428 | 321% |
| Manhattan Life | $285 - $428 | 321% |
| Pai | $285 - $428 | 321% |
| Pan-American Life | $285 - $428 | 321% |
| Paramount Hmo | $285 - $428 | 321% |
| Phcs | $285 - $428 | 321% |
| Trinity Health Share | $285 - $428 | 321% |
| Lifewise | $295 - $443 | 332% |
| Priority Health | $298 - $447 | 335% |
| Allied Benefit Systems | $300 - $451 | 337% |
| Ameriben | $300 - $451 | 337% |
| Asr Health Benefits | $300 - $451 | 337% |
| Christian Brother Services | $300 - $451 | 337% |
| Geha | $300 - $457 | 337% |
| Healthez | $300 - $451 | 337% |
| Luminare Health (Detroit) | $300 - $451 | 337% |
| Rural Carrier Health Benefit Plan | $300 - $451 | 337% |
| First Health | $301 - $452 | 339% |
| Medi Share | $301 - $452 | 339% |
| Providence | $301 - $452 | 339% |