CMS Price Transparency Data

X-ray, hand

Facility: Mary Bridge Children's Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $433
Cash Discount Price: $310
vs. Medicare Baseline: 4.87x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Mary Bridge Children's Hospital is $433. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $310. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.87x the Medicare baseline. Located in 317 Martin Luther King Jr W Box 5299, Tacoma, WA.

Cash / Self-Pay

$310

Average discount available for prompt cash payment at this facility.

Insurance Median

$433

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: $310 (349%)

Insurance Median: $433 (487%)

Cash: $310 (349% of Medicare)

Ins. Median: $433 (487% 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 487% of the Medicare baseline (a markup of 387%). 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
Molina	$40 - $181	45%
Community Health Plan Of Washington	$44 - $127	49%
Coordinated Care	$44	49%
UnitedHealthcare	$44 - $803	49%
Wellpoint	$44	49%
Aetna	$101 - $602	114%
Regence	$101 - $493	114%
Wellcare	$103	116%
Ambetter / Centene	$144	162%
Premera	$163 - $417	183%
Pacificsource	$281 - $283	316%
First Choice	$449 - $666	505%
Uniform Medical	$490	551%
Kaiser	$548	616%
First Health	$551 - $689	620%
Multiplan/Phcs	$551 - $689	620%
Cigna	$561 - $719	631%

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 $310.
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 Mary Bridge 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.