CMS Price Transparency Data

X-ray, hand

Facility: Ascension Seton Northwest

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $85
Cash Discount Price: $438
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Ascension Seton Northwest is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $438. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.96x the Medicare baseline. Located in 11113 Research Boulevard, Austin, TX.

Cash / Self-Pay

$438

Average discount available for prompt cash payment at this facility.

Insurance Median

$85

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: $438 (493%)

Insurance Median: $85 (96%)

Cash: $438 (493% of Medicare)

Ins. Median: $85 (96% 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
Champva	$24 - $31	27%
Ambetter / Centene	$29 - $154	33%
Blue Cross Blue Shield	$29 - $323	33%
Dell Chip/Chip Perinate	$29 - $30	33%
Dell Star	$29 - $30	33%
UnitedHealthcare	$29 - $87	33%
Wellpoint Chip/Chip Perinate	$29 - $37	33%
Wellpoint Star	$29 - $30	33%
Wellpoint Star Plus	$29 - $37	33%
Wellpoint Star Kids	$37	42%
Humana	$49 - $85	55%
Tricare	$59 - $85	66%
Aarp Mc Wellmed	$84	94%
Sendero Chap	$84	94%
Addr Cancer Together	$85	96%
Aetna	$85 - $268	96%
Covid Hrsa	$85	96%
Cshcn Cidc	$85	96%
Devoted Health Mcr Replacement	$85	96%
Medicare (plans)	$85	96%
Research Study	$85	96%
Smarthealth	$85	96%
Superior Allwell	$85	96%
Wellcare Med Advantage	$85	96%
Connected Senior Care	$88	99%
Pphp Mcr Advantage	$90	101%
Tx Independence Hp	$90	101%
Occunet	$119	134%
Sendero Idealcare	$149	168%
Seton Performance Plus	$157	177%
Cigna	$194	218%
Covenant Health	$268	301%
Superior Star	$336 - $638	378%
Superior Star Foster	$336 - $638	378%
Superior Star Kids	$336 - $638	378%
Superior Star Plus	$336 - $638	378%
Superior Chip/Chip Perinate	$378 - $717	425%

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 $438.
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 Ascension Seton Northwest 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.