CMS Price Transparency Data

X-ray, hand

Facility: Marshfield Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $314
Cash Discount Price: $351
vs. Medicare Baseline: 3.53x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Marshfield Medical Center is $314. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $351. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.53x the Medicare baseline. Located in 611 St Joseph Ave, Marshfield, WI.

Cash / Self-Pay

$351

Average discount available for prompt cash payment at this facility.

Insurance Median

$314

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: $351 (395%)

Insurance Median: $314 (353%)

Cash: $351 (395% of Medicare)

Ins. Median: $314 (353% 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 353% of the Medicare baseline (a markup of 253%). 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
Security Health Plan (Shp)	$84 - $203	94%
Veteran'S Administration (Va Ccn)	$84	94%
Blue Cross Blue Shield	$86 - $293	97%
Group Health Cooperative Of Eau Claire	$89 - $339	100%
Family Health Center (Fhc)	$184	207%
Amish/Mennonite	$203	228%
Sanford Health Plan	$203	228%
The Alliance	$256 - $308	288%
Besse Forest Products	$314	353%
Molina Healthcare Of Wi	$314	353%
Rice Lake School District	$314	353%
Wps Health Insurance	$325 - $356	366%
Trilogy	$332 - $354	373%
Medica Of Wi	$342 - $349	385%
Cigna	$347	390%
Healtheos By Multiplan Inc.	$347 - $351	390%
Corvel	$351	395%
First Health	$351	395%
Health Partners	$351	395%
Three Rivers Provider Network (Trpn)	$351	395%
Coventry	$354	398%
Health Smart	$354	398%
Rising Medical Work Comp	$358	403%
UnitedHealthcare	$484	544%

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 $351.
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 Marshfield Medical Center 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.