CMS Price Transparency Data

X-ray, hand

Facility: Froedtert Memorial Lutheran Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $528
Cash Discount Price: $431
vs. Medicare Baseline: 5.94x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Froedtert Memorial Lutheran Hospital is $528. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $431. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.94x the Medicare baseline. Located in 9200 W Wisconsin Ave, Milwaukee, WI.

Cash / Self-Pay

$431

Average discount available for prompt cash payment at this facility.

Insurance Median

$528

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: $431 (485%)

Insurance Median: $528 (594%)

Cash: $431 (485% of Medicare)

Ins. Median: $528 (594% 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 594% of the Medicare baseline (a markup of 494%). 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	$89 - $691	100%
Community Care	$89	100%
Health Partners	$89 - $504	100%
Humana	$89	100%
Icare	$89	100%
Molina	$89	100%
Network Health Plan	$89 - $399	100%
Priority Health	$89	100%
Quartz	$89	100%
Security Health Plan	$89 - $639	100%
UnitedHealthcare	$89 - $617	100%
Upper Peninsula Health Plan	$89	100%
Aetna	$91 - $528	102%
Wellcare	$91	102%
Care Wisconsin/Mychoice	$92	103%
Centivo	$227 - $268	255%
Medical College Of Wisconsin	$249 - $268	280%
Chorus Community Health Plan	$295 - $317	332%
Froedtert South	$302 - $325	340%
Sheboygan Employers Health Network	$445	501%
Wisconsin Physician Services Statewide Alliance	$476 - $512	535%
Trilogy	$491 - $528	552%
Health Payment Systems	$497 - $535	559%
Cigna	$590 - $634	664%
Dean Health Plan	$605 - $650	680%
Group Health Cooperative	$605 - $650	680%
Healtheos	$605 - $650	680%
Multiplan/Private Healthcare Systems	$605 - $650	680%
Healthsmart	$627 - $675	705%
Wisconsin Physician Services	$643 - $691	723%
First Health Network	$654 - $703	736%

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 $431.
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 Froedtert Memorial Lutheran 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.