CMS Price Transparency Data

X-ray, hand

Facility: El Paso Children's Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $76
Cash Discount Price: $35
vs. Medicare Baseline: 0.85x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at El Paso Children's Hospital is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.85x the Medicare baseline. Located in 4845 Alameda Avenue, El Paso, TX.

Cash / Self-Pay

$35

Average discount available for prompt cash payment at this facility.

Insurance Median

$76

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: $35 (39%)

Insurance Median: $76 (85%)

Cash: $35 (39% of Medicare)

Ins. Median: $76 (85% 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
Uh Military Va	$32	36%
Health Net Fed Svcs	$34	38%
Blue Cross Blue Shield	$36 - $130	40%
Amerigroup Tx	$37	42%
Point Comfort Underwriters	$37	42%
Superior	$37	42%
El Paso Health Plans	$41	46%
Molina Tx	$41	46%
El Paso First Health Plan	$49	55%
Western Sky	$92	103%
Aetna	$125 - $139	141%
UnitedHealthcare	$125	141%
Cigna	$137	154%
Coventry Health Care	$139	156%
Fortified Provider Network	$139	156%
Multiplan	$139	156%
Molina Nm	$154	173%

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 $35.
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 El Paso Children's 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.