CMS Price Transparency Data

X-ray, hand

Facility: Jefferson Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $35
Cash Discount Price: $373
vs. Medicare Baseline: 0.39x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Jefferson Hospital is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $373. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.39x the Medicare baseline. Located in 565 Coal Valley Road, Jefferson Hills, PA.

Cash / Self-Pay

$373

Average discount available for prompt cash payment at this facility.

Insurance Median

$35

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: $373 (420%)

Insurance Median: $35 (39%)

Cash: $373 (420% of Medicare)

Ins. Median: $35 (39% 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
Univera	$7 - $44	8%
Amerihealth	$8 - $89	9%
Highmark	$10 - $139	11%
Pennsylvania Health And Wellness	$10 - $28	11%
Geisinger	$11 - $30	12%
UnitedHealthcare	$11 - $277	12%
Cigna	$13 - $197	15%
University Of Pittsburgh Medical Center	$13 - $85	15%
Aetna	$14 - $206	16%
Highmark Wholecare	$16 - $90	18%
Martin'S Point	$81 - $85	91%
American Health Plans	$85	96%
Life Pittsburgh	$85	96%
Medicare (plans)	$87	98%
Humana	$90	101%
Molina	$92	103%
Medical Mutual	$208	234%

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 $373.
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 Jefferson Hospital 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.