CMS Price Transparency Data

X-ray, hand

Facility: Sheridan Memorial Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $167
Cash Discount Price: $50
vs. Medicare Baseline: 1.88x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Sheridan Memorial Hospital is $167. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.88x the Medicare baseline. Located in 1401 W 5Th St, Sheridan, WY.

Cash / Self-Pay

$50

Average discount available for prompt cash payment at this facility.

Insurance Median

$167

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: $50 (56%)

Insurance Median: $167 (188%)

Cash: $50 (56% of Medicare)

Ins. Median: $167 (188% 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
Humana	$9 - $95	10%
Medi-Share Profee Only - All Plans	$22 - $57	25%
Miscellaneous-All Plans	$22 - $282	25%
Pacificsource-All Plans	$22 - $275	25%
Wise Provider Network-All Plans	$22 - $291	25%
Cigna	$23 - $291	26%
First Choice Comm - All Plans	$24 - $297	27%
Phcs Multiplan-All Plans	$24 - $297	27%
Three Rivers-All Plans	$24 - $297	27%
Blue Cross Blue Shield	$80 - $260	90%
Wy School Boards-All Plans	$167 - $261	188%
UnitedHealthcare	$171 - $268	192%
C1 Employee - All Plans	$180 - $282	202%
Casper Opco Llc - All Plans	$180 - $282	202%
First Health Comm - All Plans	$180 - $282	202%
Ebms - All Plans	$190 - $297	214%

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 $50.
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 Sheridan 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.