CMS Price Transparency Data

X-ray, hand

Facility: Aurora Medical Ctr Manitowoc County

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $483
Cash Discount Price: $604
vs. Medicare Baseline: 5.43x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Aurora Medical Ctr Manitowoc County is $483. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $604. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.43x the Medicare baseline. Located in 5000 Memorial Drive, Two Rivers, WI.

Cash / Self-Pay

$604

Average discount available for prompt cash payment at this facility.

Insurance Median

$483

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: $604 (679%)

Insurance Median: $483 (543%)

Cash: $604 (679% of Medicare)

Ins. Median: $483 (543% 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 543% of the Medicare baseline (a markup of 443%). 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
Aetna	$200 - $1,330	225%
Aurora Caregiver	$240	270%
Quartz One	$245	276%
Common Ground	$249	280%
Everpointe Elite	$259	291%
Healthpartners	$266 - $1,208	299%
Blue Cross Blue Shield	$275 - $1,368	309%
Quartz Group	$290	326%
Hs Technology	$293	330%
Wisconsin Physician Service	$299 - $315	336%
Molina Exchange	$308	346%
Centivo	$328	369%
UnitedHealthcare	$336 - $1,356	378%
Health Payment Systems	$400	450%
Trilogy	$410	461%
Cigna	$460 - $1,362	517%
Health Eos Plus	$483 - $966	543%
Health Eos	$644 - $1,288	724%

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 $604.
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 Aurora Medical Ctr Manitowoc County 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.