CMS Price Transparency Data

X-ray, hand

Facility: PAM Rehabilitation Hospital of Beaumont

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $229
Cash Discount Price: $356
vs. Medicare Baseline: 2.58x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at PAM Rehabilitation Hospital of Beaumont is $229. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $356. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.58x the Medicare baseline. Located in 3340 Plaza 10 Drive, Beaumont, TX.

Cash / Self-Pay

$356

Average discount available for prompt cash payment at this facility.

Insurance Median

$229

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: $356 (400%)

Insurance Median: $229 (258%)

Cash: $356 (400% of Medicare)

Ins. Median: $229 (258% 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 258% of the Medicare baseline (a markup of 158%). 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
Superior Health	$37	42%
Wellpoint (Amerigroup)	$37	42%
America'S Choice Provider Network	$195 - $304	219%
Provider Network Of America	$209 - $326	235%
Quik Trip	$209 - $326	235%
Usa Managed Care Organization	$209 - $326	235%
Velocity Provider Ppo Network	$209 - $326	235%
Multiplan/Phcs	$222 - $347	250%
Prime Health Services	$236 - $369	265%

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 $356.
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 PAM Rehabilitation Hospital of Beaumont 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.