CMS Price Transparency Data

X-ray, hand

Facility: Crossing Rivers Health Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $535
Cash Discount Price: $563
vs. Medicare Baseline: 6.02x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Crossing Rivers Health Medical Center is $535. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $563. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.02x the Medicare baseline. Located in 37868 Us Hwy 18, Prairie Du Chien, WI.

Cash / Self-Pay

$563

Average discount available for prompt cash payment at this facility.

Insurance Median

$535

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: $563 (633%)

Insurance Median: $535 (602%)

Cash: $563 (633% of Medicare)

Ins. Median: $535 (602% 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 602% of the Medicare baseline (a markup of 502%). 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
Amerigroup Mcaid-All Other Plans	$120	135%
Iowa Total Care Mcaid-All Plans	$120	135%
Amerigroup Mcr Adv	$237	267%
Blue Cross Blue Shield	$237 - $546	267%
Security Hlth Mcr Adv	$237	267%
UnitedHealthcare	$237	267%
Humana	$239 - $541	269%
Quartz - All Plans	$451	507%
Dean Health Plan - All Plans	$535	602%
Medica Comm - All Other Plans	$535	602%
Medica Hp Solutions	$535	602%
Security Hlth Comm - All Other Plans	$535	602%
Health Trad Hp - All Plans	$541	608%
Wea Provider Ntwrk - All Plans	$541	608%
Cigna	$546	614%
First Health - All Plans	$546	614%
Geha - All Plans	$546	614%
Group Health Co-Op - All Plans	$546	614%
Health Partners - All Plans	$546	614%
Medical Associates Hp - All Plans	$546	614%
Preferred Health Choice - All Plans	$546	614%
Wps - All Plans	$546	614%

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 $563.
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 Crossing Rivers Health 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.