CMS Price Transparency Data

X-ray, hand

Facility: Tristar Summit Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $136
Cash Discount Price: $2,064
vs. Medicare Baseline: 1.53x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Tristar Summit Medical Center is $136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,064. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.53x the Medicare baseline. Located in 5655 Frist Blvd, Hermitage, TN.

Cash / Self-Pay

$2,064

Average discount available for prompt cash payment at this facility.

Insurance Median

$136

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: $2,064 (2321%)

Insurance Median: $136 (153%)

Cash: $2,064 (2321% of Medicare)

Ins. Median: $136 (153% 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	$22 - $41	25%
Humana	$33 - $1,342	37%
Aetna	$48 - $1,032	54%
United	$84 - $929	94%
Cigna	$92 - $1,651	103%
Kentucky Labor Cabinet	$380	427%
Apex Health	$392	441%
Nhc Advantage, Inc.	$392	441%
Pruitt Health (Allyalign)	$392	441%
Centurion	$850	956%
Bgfh Singlesource	$1,032 - $1,755	1161%
Multiplan	$1,342	1509%
Employers Health Network	$1,445	1625%
Odom'S Tn Pride Sausage	$1,548	1741%
Compsych	$1,651	1857%
Beech Street	$1,816	2043%
Prime Health	$1,816	2043%

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 $2,064.
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 Tristar Summit 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.