CMS Price Transparency Data

X-ray, hand

Facility: Cook Childrens Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $108
Cash Discount Price: $250
vs. Medicare Baseline: 1.21x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Cook Childrens Medical Center is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $250. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.21x the Medicare baseline. Located in 801 Seventh Avenue, Fort Worth, TX.

Cash / Self-Pay

$250

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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: $250 (281%)

Insurance Median: $108 (121%)

Cash: $250 (281% of Medicare)

Ins. Median: $108 (121% 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
Beacon	$20 - $140	22%
Firstcare	$20 - $468	22%
Health Plan W/O Uhrip	$20 - $140	22%
Rightcare	$27 - $196	30%
Molina	$30 - $216	34%
Health Plan W. Uhrip	$31 - $222	35%
El Paso Health First	$36 - $257	40%
Tx Children Health	$36 - $257	40%
Aetna	$41 - $292	46%
UnitedHealthcare	$47 - $497	53%
Blue Cross Blue Shield	$62 - $491	70%
S&W Health	$68 - $491	76%
Cigna	$69 - $497	78%
Healthscope	$69 - $497	78%
Imagine Health	$69 - $497	78%
Humana	$71 - $514	80%
Multiplan	$71 - $509	80%
First Health	$72 - $514	81%
Galaxy Health	$73 - $526	82%
Usamco	$75 - $538	84%

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 $250.
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 Cook Childrens 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.