CMS Price Transparency Data

X-ray, hand

Facility: UPMC Hamot

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $125
Cash Discount Price: $250
vs. Medicare Baseline: 1.41x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at UPMC Hamot is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $250. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.41x the Medicare baseline. Located in 201 State Street, Erie, PA.

Cash / Self-Pay

$250

Average discount available for prompt cash payment at this facility.

Insurance Median

$125

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: $250 (281%)

Insurance Median: $125 (141%)

Cash: $250 (281% of Medicare)

Ins. Median: $125 (141% 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.

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
Blue Cross Blue Shield	$20 - $161	22%
Upmc Health Plan	$48 - $99	54%
Univera	$63 - $183	71%
Upmc Work Partners	$74	83%
Fidelis	$97	109%
Aetna	$99 - $292	111%
Wellcare	$100	112%
UnitedHealthcare	$104 - $190	117%
Amerihealth Caritas	$105	118%
Cigna	$105 - $167	118%
Highmark Wholecare (Prev Gateway)	$105 - $208	118%
Pa Health & Wellness	$105 - $229	118%
Independent Health	$118 - $158	133%
Geisinger	$229	258%
Intergroup	$271 - $334	305%
Multiplan	$292 - $334	328%

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 $250.
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 UPMC Hamot 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.