CMS Price Transparency Data

X-ray, hand

Facility: Colleton Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $621
Cash Discount Price: $1,098
vs. Medicare Baseline: 6.98x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Colleton Medical Center is $621. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,098. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.98x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.

Cash / Self-Pay

$1,098

Average discount available for prompt cash payment at this facility.

Insurance Median

$621

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: $1,098 (1235%)

Insurance Median: $621 (698%)

Cash: $1,098 (1235% of Medicare)

Ins. Median: $621 (698% 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 698% of the Medicare baseline (a markup of 598%). 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
Blue Choice	$35	39%
United	$35 - $776	39%
Select Health	$50	56%
Sc State Employees	$63 - $70	71%
Absolute Total Care	$126 - $263	142%
Blue Choice Health Plan	$146 - $153	164%
Blue Cross Blue Shield	$146 - $1,389	164%
Nhc Advantage	$165 - $278	186%
Pruitt Health	$165 - $278	186%
Employers Health Network	$390 - $658	439%
Value Option	$433 - $731	487%
Vocational Rehab	$468 - $789	526%
Medcost	$488 - $1,067	549%
Aetna	$501 - $846	563%
Cigna	$559 - $944	629%
Humana	$563 - $1,316	633%
Mhnet	$650 - $1,096	731%
Evernorth	$693 - $1,170	779%
Multiplan	$736 - $1,243	828%
North American Administrators	$736 - $1,243	828%
Prime Health	$736 - $1,243	828%
First Health	$779 - $1,316	876%
Novanet	$779 - $1,316	876%

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 $1,098.
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 Colleton 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.