CMS Price Transparency Data
X-ray, hand
Facility: Children's Hosp of Los Angeles
Billing Code: 73130 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73130
- Insurance Median: $54
- Cash Discount Price: $81
- vs. Medicare Baseline: 0.61x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Children's Hosp of Los Angeles is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.61x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$81
Average discount available for prompt cash payment at this facility.
Insurance Median
$54
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: $81 (91%)
Insurance Median: $54 (61%)
Cash: $81 (91% of Medicare)
Ins. Median: $54 (61% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Inland Empire Health Plan | $12 - $74 | 13% |
| Molina | $12 - $76 | 13% |
| Medi-Cal | $12 - $36 | 13% |
| Medicaid / KanCare | $24 - $81 | 27% |
| Shriners Hospital | $24 | 27% |
| Altamed | $25 - $81 | 28% |
| Non-Contract Payors | $32 | 36% |
| Incentive Health Network | $32 | 36% |
| Beech Street | $32 | 36% |
| Health Net | $34 - $101 | 38% |
| Caloptima | $35 - $81 | 39% |
| Community Family Care IPA | $36 - $81 | 40% |
| Emanate Health Medical Center Mmc | $36 | 40% |
| Point Comfort Underwriters | $36 | 40% |
| Valley Presbyterian Hospital | $36 - $81 | 40% |
| Heritage Provider Network | $37 - $81 | 42% |
| Kaiser | $38 - $46 | 43% |
| Axminster Medical Group | $39 - $48 | 44% |
| Facey Medical Group | $39 - $48 | 44% |
| St. John's Health Clinic | $39 - $48 | 44% |
| Staywell Insurance | $40 | 45% |
| Sansum Clinic | $40 | 45% |
| Exceptional Care Medical Group | $40 - $81 | 45% |
| Pioneer Prov Ntwk | $40 | 45% |
| Accarent Health | $40 | 45% |
| Mercy Care | $40 | 45% |
| Citrus Valley Phys Grp | $40 - $52 | 45% |
| La Care | $40 - $81 | 45% |
| Gemcare IPA | $40 | 45% |
| Managed Care Systems | $40 | 45% |
| Aetna | $42 - $44 | 47% |
| Book Md | $42 | 47% |
| Good Samaritan Medical Group | $43 | 48% |
| Applecare Medical Group | $43 - $81 | 48% |
| Health Care La IPA | $44 - $81 | 49% |
| Intl - Quality Health Management | $44 - $81 | 49% |
| Community Care | $44 | 49% |
| Global Care Medical Group | $44 - $81 | 49% |
| Premier Physicians Ntwk | $44 - $81 | 49% |
| Providence Health Network | $44 | 49% |
| Bella Vista Med Grp | $44 - $81 | 49% |
| Intl - Global Medical Management | $44 | 49% |
| Culinary Health Fund | $44 - $81 | 49% |
| Blue Shield | $44 - $81 | 49% |
| National Healthcare Solutions | $44 | 49% |
| Centinela Valley IPA | $44 - $81 | 49% |
| Intl - Global Excel Management | $44 - $161 | 49% |
| Choice Medical Group | $44 | 49% |
| Choc Health Alliance | $45 | 51% |
| St Francis Medical Center | $45 - $81 | 51% |
| Blue Cross Blue Shield | $47 - $81 | 53% |
| Sanus Health | $48 | 54% |
| Private Hlthcare System | $48 | 54% |
| Self-Pay | $48 | 54% |
| Preferred IPA - Commercial | $48 | 54% |
| Access Medical Group | $48 | 54% |
| Emanate Health Medical Center Commercial | $48 | 54% |
| Los Angeles Medical Center IPA | $48 - $81 | 54% |
| Seoul Medical Group | $48 | 54% |
| Ventura County Health Plan | $48 | 54% |
| Family Care Specialists | $48 - $81 | 54% |
| Allied Pacific IPA | $48 - $81 | 54% |
| Alhambra Hospital Medical Center | $48 - $81 | 54% |
| Bright Medical Associates | $48 | 54% |
| Delta Health Systems | $48 | 54% |
| UnitedHealthcare | $48 - $109 | 54% |
| Sierra Health and Life Insurance Company | $51 | 57% |
| Marian Health Services | $52 | 58% |
| Seaside Health Plan | $52 - $81 | 58% |
| Star Healthcare Network Commercial | $52 | 58% |
| Plotkin Health | $52 | 58% |
| Cedar Sinai Med Grp | $52 | 58% |
| Prime Health Services | $52 | 58% |
| Redlands Community Hospital | $52 | 58% |
| Embassy - Saudi Arabia | $52 | 58% |
| Intl - Msh China Enterprise Services | $52 | 58% |
| Serra Community Med Clinic - Commercial | $52 | 58% |
| Lakewood Health Plan | $52 | 58% |
| Intl - Erv Travel Services | $52 - $56 | 58% |
| Calvo Selectcare | $52 | 58% |
| Intl - Aixin Life Insurance Co | $52 - $81 | 58% |
| Axis Services International | $52 | 58% |
| Intl - Concierge Healthcare Services | $52 | 58% |
| Watts Healthcare Mmc | $53 - $81 | 60% |
| El Proyecto Del Barrio | $53 - $81 | 60% |
| Cigna | $54 | 61% |
| Hollywood Presbyterian Medical Center | $54 - $81 | 61% |
| Beaver Medical Group | $56 | 63% |
| Angeles IPA | $56 - $81 | 63% |
| Multiplan | $56 | 63% |
| Memorialcare Med Foundation | $56 | 63% |
| Primecare Medical Network | $56 | 63% |
| Korean American Med Grp | $56 | 63% |
| Serendib Healthways Mmc | $58 - $81 | 65% |
| Prospect Medical Group | $61 | 69% |
| Interlink Health Services | $61 | 69% |
| Associated Hispanic Physicians IPA | $61 - $81 | 69% |
| Hispanic Physician IPA | $61 - $81 | 69% |
| Embassy - Kuwait | $61 | 69% |
| Serra Community Med Clinic | $62 - $81 | 70% |
| White Memorial Medical Center | $63 - $81 | 71% |
| Care 1St | $63 - $81 | 71% |
| Karing Physicians Medical Group | $65 - $81 | 73% |
| Noble Community Medical Associates | $65 - $81 | 73% |
| Self-Pay International | $65 | 73% |
| Regent Medical Group | $65 - $81 | 73% |
| Avalon IPA | $65 - $81 | 73% |
| Mabuhay Medical Group | $65 - $81 | 73% |
| Adventist Health Physicians | $65 - $201 | 73% |
| Embassy - All Others | $65 | 73% |
| Primary Care and Pediatric IPA | $65 - $81 | 73% |
| Cal Care IPA | $66 - $81 | 74% |
| Gold Coast Health Plan | $67 - $81 | 75% |
| Preferred IPA | $67 - $81 | 75% |
| San Judas Med Grp | $67 - $81 | 75% |
| Beverly Hospital | $67 - $81 | 75% |
| Pacific Alliance Medical Center | $67 - $81 | 75% |
| Family Health Alliance Med Grp | $68 - $81 | 76% |
| Souther California Hosp System - Mmc | $69 - $81 | 78% |
| Accountable Health | $69 - $81 | 78% |
| Cencal Health | $70 - $81 | 79% |
| Crown City Medical Group | $72 - $81 | 81% |
| Employee Health Systems Med Grp | $72 - $81 | 81% |
| Imperial Health Holdings Medical Group | $74 - $81 | 83% |
| Healthy New Life Medical Corp | $75 - $81 | 84% |
| California Pacific Physicians Medical Group | $75 - $81 | 84% |
| Asian Community Medical Group | $75 - $81 | 84% |
| Medicare (plans) | $79 - $110 | 89% |
| Community Care IPA Mmc | $80 - $81 | 90% |
| Dignity Health | $80 - $81 | 90% |
| Southland San Gabriel Valley Medical Group | $81 | 91% |
| Superior Choice Medical Group | $81 | 91% |
| Kern Family Health Plan | $81 | 91% |
| Southern Atlantic Medical Group Mmc | $81 - $94 | 91% |
| Champus | $109 | 123% |