CMS Price Transparency Data

X-ray, hand

Facility: Camc Greenbrier Valley Medical Center, Inc

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $316
Cash Discount Price: $598
vs. Medicare Baseline: 3.55x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Camc Greenbrier Valley Medical Center, Inc is $316. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $598. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.55x the Medicare baseline. Located in 1320 Maplewood Avenue, Ronceverte, WV.

Cash / Self-Pay

$598

Average discount available for prompt cash payment at this facility.

Insurance Median

$316

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: $598 (673%)

Insurance Median: $316 (355%)

Cash: $598 (673% of Medicare)

Ins. Median: $316 (355% 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 355% of the Medicare baseline (a markup of 255%). 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	$17 - $735	19%
Sentra Health	$17 - $159	19%
The Health Plan	$17 - $716	19%
Unicare	$17 - $18	19%
Aetna	$18 - $779	20%
Caresource	$18 - $636	20%
Clear Spring Health	$88	99%
Humana	$88 - $716	99%
UnitedHealthcare	$88 - $636	99%
Ally Align	$92	103%
Integrated Medical Solutions	$167	188%
Naphcare	$176	198%
Greenbrier Resort	$280 - $556	315%
Healthsmart	$280 - $556	315%
Multiplan	$316 - $692	355%
Fedmed	$360 - $716	405%

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 $598.
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 Camc Greenbrier Valley Medical Center, Inc 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.