CMS Price Transparency Data

X-ray, hand

Facility: Carilion Giles Community Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $571
Cash Discount Price: $392
vs. Medicare Baseline: 6.42x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Carilion Giles Community Hospital is $571. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $392. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.42x the Medicare baseline. Located in 159 Hartley Way, Pearisburg, VA.

Cash / Self-Pay

$392

Average discount available for prompt cash payment at this facility.

Insurance Median

$571

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: $392 (441%)

Insurance Median: $571 (642%)

Cash: $392 (441% of Medicare)

Ins. Median: $571 (642% 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 642% of the Medicare baseline (a markup of 542%). 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
Blue Cross Blue Shield	$33 - $449	37%
Sentara Health Plan	$34 - $695	38%
Abh Of Va (Formerly Coventry)	$35	39%
Abh Of Wva (Formerly Coventry)	$35	39%
Humana	$35 - $83	39%
UnitedHealthcare	$35 - $916	39%
Aetna	$76 - $744	85%
Gateway - Tier 3	$617	694%
Vhn - Ultra	$695	782%
Cigna	$756 - $807	850%
Connecticare	$785	883%
Vhn - Plus	$863	971%
Gateway - Tier 2	$897	1009%
Vhn	$897	1009%
Vhn - Link	$1,009	1135%
Gateway - Tier 1	$1,065	1198%
Vhn - Secondary Payors	$1,065	1198%

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 $392.
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 Carilion Giles Community 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.