CMS Price Transparency Data

X-ray, hand

Facility: Black River Memorial Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $164
Cash Discount Price: $399
vs. Medicare Baseline: 1.84x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Black River Memorial Hospital is $164. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $399. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.84x the Medicare baseline. Located in 711 W Adams St, Black River Falls, WI.

Cash / Self-Pay

$399

Average discount available for prompt cash payment at this facility.

Insurance Median

$164

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: $399 (449%)

Insurance Median: $164 (184%)

Cash: $399 (449% of Medicare)

Ins. Median: $164 (184% 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.

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	$8 - $390	9%
Group Health Cooperative Of Eau Claire	$8 - $430	9%
Humana	$8 - $412	9%
My Choice Wisconsin, Inc.	$8 - $226	9%
Quartz Health Solutions, Inc	$8 - $403	9%
UnitedHealthcare	$8 - $418	9%
Security Health Plan	$79 - $414	89%
The Alliance	$79 - $425	89%
Corvel	$103 - $270	116%
Triology Health Solutions	$152 - $421	171%
Medica	$158 - $414	178%
Association Benefits Solution	$161 - $421	181%
Family Health Center Of Marshfield	$161 - $421	181%
First Health Group Corporation	$161 - $421	181%
Provider Network Of America	$161 - $421	181%
Cigna	$164 - $430	184%
Cofinity	$164 - $430	184%
Coventry Health Care	$164 - $430	184%
Custom Benefit Administrators	$164 - $430	184%
Healthpartners, Inc.	$164 - $430	184%
Multiplan	$164 - $439	184%
Wisconsin Physicians Service Insurance Corp	$164 - $430	184%
Chorus	$166 - $434	187%

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 $399.
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 Black River Memorial 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.