CMS Price Transparency Data

X-ray, hand

Facility: Texas Health Harris Methodist Hospital Stephenvill

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $369
Cash Discount Price: $404
vs. Medicare Baseline: 4.15x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Texas Health Harris Methodist Hospital Stephenvill is $369. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $404. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.15x the Medicare baseline. Located in 411 N Belknap St, Stephenville, TX.

Cash / Self-Pay

$404

Average discount available for prompt cash payment at this facility.

Insurance Median

$369

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: $404 (454%)

Insurance Median: $369 (415%)

Cash: $404 (454% of Medicare)

Ins. Median: $369 (415% 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 415% of the Medicare baseline (a markup of 315%). 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
American Health	$87	98%
Blue Cross Blue Shield	$87 - $630	98%
Healthspring	$89	100%
Humana	$91	102%
Amerigroup	$92 - $109	103%
Molina	$92 - $118	103%
Superior Wellcare	$92 - $115	103%
UnitedHealthcare	$97 - $722	109%
Aetna	$277 - $472	312%
Fort Worth Firefighters	$296 - $411	333%
City Of Fort Worth	$317	357%
Cigna	$373 - $634	420%
Quick Trip	$479	539%
Phcs	$563	633%
Healthsmart	$586 - $647	659%
Multiplan	$586	659%
Galaxy	$593	667%
Usa	$593	667%

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 $404.
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 Texas Health Harris Methodist Hospital Stephenvill 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.