CMS Price Transparency Data

X-ray, hand

Facility: St Charles Medical Center Prineville

Billing Code: 73130 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$70

about 0.8× the $89 Medicare rate · typically $64–$87

modeled estimate · not a bill or quote

What this hospital charges insurers

$69

About the fair price

about $1 under the fair price · 0.8× Medicare

Medicare pays $89 Fair price $70 This hospital $69 Cash price $230 Hospital's list price $287

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

On the higher side — 6 of 8 other OR hospitals charge less.

Cheapest $35 Priciest $74

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a X-ray, hand is about $70 (about 0.8× the $89 Medicare rate). St Charles Medical Center Prineville charges insurers about $69, or about $230 in cash — about the fair price. Located in Prineville, OR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$34 - $417	38%
Blue Cross Blue Shieldmajor	$32 - $311	36%
Aetnamajor	$34 - $393	38%
Cignamajor	$34 - $284	38%
Humanamajor	$34 - $126	38%
Kaiser Permanentemajor	$34 - $391	38%
Devoted Health	$34 - $126	38%
Health Net	$34 - $424	38%
Moda Health	$106 - $388	119%
PacificSource	$69 - $247	78%
Providence Health Plan	$86 - $395	97%
UniCare	$34 - $126	38%
WellCare	$34 - $126	38%
+ 66 smaller / regional plans	$34 - $442

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 230), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73130.

Insurance Before you use insurance

Call your insurance company to confirm St Charles Medical Center Prineville is in-network.
Ask your insurer whether prior approval is required for CPT code 73130.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Charles Medical Center Prineville

Compare: X-ray, hand at other OR hospitals

Insurance negotiated median for the same procedure, sorted lowest first.