CMS Price Transparency Data

X-ray, hand

Facility: Rio Grande Regional Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $502
Cash Discount Price: $1,251
vs. Medicare Baseline: 5.65x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Rio Grande Regional Hospital is $502. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,251. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.65x the Medicare baseline. Located in 101 E Ridge Rd, McAllen, TX.

Cash / Self-Pay

$1,251

Average discount available for prompt cash payment at this facility.

Insurance Median

$502

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: $1,251 (1407%)

Insurance Median: $502 (565%)

Cash: $1,251 (1407% of Medicare)

Ins. Median: $502 (565% 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 565% of the Medicare baseline (a markup of 465%). 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%
United	$38 - $804	43%
Driscoll Children'S Health Plan	$39	44%
Aetna	$40	45%
Molina Healthcare	$41	46%
Superior Health Plan	$78 - $125	88%
Humana	$95	107%
Blue Cross Blue Shield	$180 - $804	202%
Texas Workforce Commission	$268 - $429	301%
Healthcare Highways	$285 - $456	321%
Averde Health	$368 - $590	414%
Cigna	$446 - $596	502%
Allegian Health	$447 - $715	503%
Curative Administrators	$447 - $715	503%
Healthsmart Preferred Care	$480 - $1,518	540%
First Health	$642 - $1,027	722%
National Healthcare Solutions	$670 - $1,072	754%
Southwest Medical	$670 - $1,072	754%
Coastal Comp	$726 - $1,161	817%
Usa Managed Care	$726 - $1,429	817%
Ppo Next/ Medical Control	$837 - $1,340	941%
Beech Street	$893 - $1,429	1004%
Multiplan	$893 - $1,429	1004%

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 $1,251.
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 Rio Grande Regional 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.