CMS Price Transparency Data

X-ray, hand

Facility: St Marys Hospital Superior

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $120
  • Cash Discount Price: $220
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at St Marys Hospital Superior is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $220. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.35x the Medicare baseline. Located in 3500 Tower Ave, Superior, WI.
Cash / Self-Pay
$220

Average discount available for prompt cash payment at this facility.

Insurance Median
$120

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: $220 (247%)
Insurance Median: $120 (135%)
Cash: $220 (247% of Medicare)
Ins. Median: $120 (135% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Itasca Med Care $88 99%
Primewest $88 99%
Advocare/Security Health $95 107%
Blue Cross Blue Shield $95 - $239 107%
Freedom Blue Ppo $95 107%
Healthpartners Care Msho / Mcr Adv $95 107%
Imcare Msho Pcc Prime $95 107%
Imcare Msho Ref Req $95 107%
Medica Advantage Solutions $95 107%
Medica Msho/Dual Solutions $95 107%
Medica Prime Solution Group $95 107%
Medica Uplan $95 107%
Medicare (plans) $95 107%
Nd Va Administration $95 107%
Platinum Blue/Vantage Blue $95 107%
Primewest Msho $95 107%
Secure Blue Msho $95 107%
Ubh Cost Plan $95 107%
Ubh Msho $95 107%
Ucare Msho $95 107%
UnitedHealthcare $95 - $270 107%
Blue Plus Pmap Pcc Prime $114 128%
Healthpartners Care Pmap $120 135%
Medica Access $120 135%
Sanford Healthplan $128 144%
Ucare $196 220%
Healthpartners $201 - $232 226%
Medica $209 - $233 235%
Wea $215 - $229 242%
Security Health $229 258%
America'S Ppo $231 260%
Cigna $232 261%
Healthpartners Pcc Prime $232 261%
Medica Choice $240 270%
Wps $250 281%
Aetna $253 285%
Healtheos $256 288%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3500 Tower Ave, Superior, WI 54880
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals