CMS Price Transparency Data

X-ray, hand

Facility: Valley Regional Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $505
Cash Discount Price: $1,909
vs. Medicare Baseline: 5.68x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Valley Regional Medical Center is $505. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,909. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.68x the Medicare baseline. Located in 100 A Alton Gloor, Brownsville, TX.

Cash / Self-Pay

$1,909

Average discount available for prompt cash payment at this facility.

Insurance Median

$505

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: $1,909 (2147%)

Insurance Median: $505 (568%)

Cash: $1,909 (2147% of Medicare)

Ins. Median: $505 (568% 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 568% of the Medicare baseline (a markup of 468%). 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
Texas Health Network	$37	42%
Usa Mco	$37	42%
United	$38 - $904	43%
Driscoll Childrens Health Plan	$39	44%
Aetna	$40 - $302	45%
Molina Healthcare	$41	46%
Superior Health Plan	$127 - $141	143%
Blue Cross Blue Shield	$172 - $904	193%
Humana	$227	255%
Texas Workforce Commission	$434 - $482	488%
Cigna	$446 - $596	502%
Healthcare Highways	$461 - $512	519%
Averde Health	$597 - $663	671%
Curative Administrators	$724 - $804	814%
Healthsmart Preferred Care	$778 - $1,708	875%
First Health	$1,041 - $1,155	1171%
National Healthcare Solutions	$1,086 - $1,205	1221%
Southwest Medical	$1,086 - $1,205	1221%
Coastal Comp	$1,176 - $1,306	1323%
Total E&P Mexico	$1,176 - $1,306	1323%
Affiliated Healthcare	$1,231 - $1,366	1385%
Mcm Maxcare	$1,448 - $1,607	1629%
Pronet Ppo	$1,448 - $1,607	1629%
Usa Managed Care	$1,448 - $1,607	1629%
Beech Street	$1,629 - $1,808	1832%

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 $1,909.
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 Valley Regional 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.