CMS Price Transparency Data

X-ray, hand

Facility: HCA Houston Healthcare Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $248
Cash Discount Price: $2,067
vs. Medicare Baseline: 2.79x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Houston Healthcare Medical Center is $248. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,067. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.79x the Medicare baseline. Located in 1313 Hermann Dr, Houston, TX.

Cash / Self-Pay

$2,067

Average discount available for prompt cash payment at this facility.

Insurance Median

$248

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: $2,067 (2325%)

Insurance Median: $248 (279%)

Cash: $2,067 (2325% of Medicare)

Ins. Median: $248 (279% 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 279% of the Medicare baseline (a markup of 179%). 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
Community Health Choice Mcd	$37	42%
United	$38 - $1,858	43%
Aetna	$40 - $300	45%
Molina Healthcare	$41	46%
Humana	$47 - $403	53%
Superior Health Plan	$53 - $248	60%
Cigna	$104 - $134	117%
Blue Cross Blue Shield	$140 - $1,445	157%
Healthcare Highways	$227 - $1,053	255%
Evry Health	$243 - $1,127	273%
Christus (Usfhp)	$357 - $1,652	402%
Curative Administrators	$357 - $1,652	402%
Coventry National First Health	$475 - $2,201	534%

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 $2,067.
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 HCA Houston Healthcare 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.