CMS Price Transparency Data

X-ray, hand

Facility: Trident Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $404
Cash Discount Price: $1,417
vs. Medicare Baseline: 4.54x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Trident Medical Center is $404. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,417. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.54x the Medicare baseline. Located in 9330 Medical Plaza Dr, Charleston, SC.

Cash / Self-Pay

$1,417

Average discount available for prompt cash payment at this facility.

Insurance Median

$404

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: $1,417 (1594%)

Insurance Median: $404 (454%)

Cash: $1,417 (1594% of Medicare)

Ins. Median: $404 (454% 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 454% of the Medicare baseline (a markup of 354%). 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
Aetna	$17 - $105	19%
Blue Choice	$35	39%
United	$35 - $847	39%
Select Health	$50	56%
Sc State Employees	$63	71%
Blue Choice Health Plan	$113	127%
Blue Cross Blue Shield	$113 - $1,788	127%
Absolute Total Care	$139 - $339	156%
Nhc Advantage	$181 - $358	204%
Pruitt Health	$181 - $358	204%
Medcost	$363 - $1,058	408%
Employers Health Network	$428 - $847	481%
Occunet	$476 - $941	535%
Vocational Rehab	$514 - $1,016	578%
Humana	$618 - $1,412	695%
First Health	$694 - $1,374	781%
Mhnet	$713 - $1,412	802%
Evernorth	$761 - $1,506	856%
Multiplan	$808 - $1,600	909%
Prime Health	$808 - $1,600	909%
Novanet	$856 - $1,694	963%

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 $1,417.
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 Trident 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.