CMS Price Transparency Data

X-ray, hand

Facility: Ascension Seton Edgar B Davis

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $133
Cash Discount Price: $160
vs. Medicare Baseline: 1.50x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Ascension Seton Edgar B Davis is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $160. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.50x the Medicare baseline. Located in 130 Hays Street, Luling, TX.

Cash / Self-Pay

$160

Average discount available for prompt cash payment at this facility.

Insurance Median

$133

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: $160 (180%)

Insurance Median: $133 (150%)

Cash: $160 (180% of Medicare)

Ins. Median: $133 (150% 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 - $37	33%
Blue Cross Blue Shield	$29 - $323	33%
Dell Chip/Chip Perinate	$29 - $109	33%
Dell Star	$29 - $102	33%
UnitedHealthcare	$29 - $102	33%
Wellpoint Chip/Chip Perinate	$29 - $109	33%
Wellpoint Star	$29 - $102	33%
Wellpoint Star Plus	$29 - $109	33%
Wellpoint Star Kids	$37 - $109	42%
Humana	$49	55%
Tricare	$59	66%
Aetna	$133 - $268	150%
Seton Performance Plus	$157	177%
Superior Star	$166 - $572	187%
Superior Star Foster	$166 - $572	187%
Superior Star Kids	$166 - $572	187%
Superior Star Plus	$166 - $572	187%
Superior Chip/Chip Perinate	$187 - $644	210%
Cigna	$194	218%
Covenant Health	$268	301%

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 $160.
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 Edgar B Davis 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.