CMS Price Transparency Data

X-ray, hand

Facility: Springfield Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $526
Cash Discount Price: $494
vs. Medicare Baseline: 5.92x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Springfield Hospital is $526. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $494. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.92x the Medicare baseline. Located in Po Box 2003, Springfield, VT.

Cash / Self-Pay

$494

Average discount available for prompt cash payment at this facility.

Insurance Median

$526

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: $494 (556%)

Insurance Median: $526 (592%)

Cash: $494 (556% of Medicare)

Ins. Median: $526 (592% 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 592% of the Medicare baseline (a markup of 492%). 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	$247 - $668	278%
Mvp Health Plan	$247 - $514	278%
UnitedHealthcare	$247 - $601	278%
Wellsense	$247 - $668	278%
Harvard Pilgrim Health Care	$249 - $553	280%
Wellcare	$254 - $261	286%
Tufts Health Plan	$399 - $410	449%
Cigna	$456 - $695	513%
Multiplan	$539 - $554	606%
Aetna	$617 - $635	694%
Coventry	$617 - $635	694%
Beacon Health	$649 - $668	730%
Manage Behavioral Health	$649 - $668	730%
Martin'S Point Healthcare	$649 - $668	730%

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 $494.
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 Springfield 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.