CMS Price Transparency Data

X-ray, hand

Facility: Bellin Health Oconto Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $253
Cash Discount Price: $225
vs. Medicare Baseline: 2.85x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Bellin Health Oconto Hospital is $253. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $225. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.85x the Medicare baseline. Located in 820 Arbutus Ave, Oconto, WI.

Cash / Self-Pay

$225

Average discount available for prompt cash payment at this facility.

Insurance Median

$253

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: $225 (253%)

Insurance Median: $253 (285%)

Cash: $225 (253% of Medicare)

Ins. Median: $253 (285% 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 285% of the Medicare baseline (a markup of 185%). 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	$100 - $118	112%
Community Care	$118	133%
Humana	$118	133%
My Choice	$118	133%
Network Health	$118 - $295	133%
UnitedHealthcare	$142 - $243	160%
Aetna	$173 - $174	195%
Cigna	$245 - $249	276%
Common Ground	$252 - $260	283%
Chorus Community Health Plan	$260	292%
Aspirus Arise	$271 - $272	305%
Healthsmart	$277 - $278	312%
Ihs(Claimsbridge)	$277 - $278	312%
Medical College Of Wi	$277 - $278	312%
Hps/Paymedix	$284 - $309	319%
Wps Insurance	$291	327%
Allied National	$294 - $295	331%
First Health	$294 - $295	331%
Galaxy Health	$294 - $295	331%
Three Rivers Provider Network	$311 - $312	350%
Trilogy	$311 - $312	350%

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 $225.
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 Bellin Health Oconto 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.