CMS Price Transparency Data

X-ray, hand

Facility: Hill Country Memorial Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $171
Cash Discount Price: $2,039
vs. Medicare Baseline: 1.92x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Hill Country Memorial Hospital is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,039. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.92x the Medicare baseline. Located in 1020 South State Highway 16, Fredericksburg, TX.

Cash / Self-Pay

$2,039

Average discount available for prompt cash payment at this facility.

Insurance Median

$171

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: $2,039 (2293%)

Insurance Median: $171 (192%)

Cash: $2,039 (2293% of Medicare)

Ins. Median: $171 (192% 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
Community First Health Plans	$37 - $733	42%
United	$37 - $1,222	42%
Aetna	$40 - $1,358	45%
Molina Healthcare	$41	46%
Superior Health	$68 - $136	76%
Blue Cross Blue Shield	$140 - $801	157%
Cigna	$258 - $341	290%
Healthcare Highways	$419 - $837	471%
Curative Administrators	$545 - $1,087	613%
Healthsmart Preferred Care	$749 - $1,494	842%
Multiplan	$1,021 - $2,309	1148%
Triwest Health Alliance	$1,021 - $2,037	1148%

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 $2,039.
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 Hill Country Memorial 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.